J Korean Surg Soc.  2003 Apr;64(4):338-342.

Endovascular Management of Iliac Vein Compression Syndrome Associated with Thrombosis

• Chae HD
• Park KH
• Choi DR
• Joo DH
• Lee HI
• Park SH
• Yu YW
• Park KH
• Sung NK

Abstract

PURPOSE
We report our early experience, and the feasibility, of an endovascular technique for treating iliac vein compression syndrome, which is known to be caused by a chronic pulsating irritation of the iliac artery. METHODS: Five patients presented with acute deep vein thromboses in their left legs, diagnosed by computed tomography (CT), and treated with a catheter-directed thrombolysis. The residual stenosis was treated by angioplasty, followed by stent placement. The results were evaluated, followed with duplex ultrasound. RESULTS: The CT scan of the left iliac vein was compressed by the right iliac artery, with the thrombosis shown distal of the venous segment of the crossover point in all five cases. Success with the endovascular technique was achieved in all 5 patients. In the follow up, the duplex scan stent site and patency were examined. During the follow up period all the stents were patent, and no thrombosis recurred. CONCLUSION: A CT scan is helpful in diagnosing iliac vein compression syndrome, with a thrombosis. The endovascular approach for its treatment should be considered affirmative due to its safety and simplicity.

Keyword

Iliac vein compression syndrome; Stent

MeSH Terms

Angioplasty
Constriction, Pathologic
Endovascular Procedures
Follow-Up Studies
Humans
Iliac Artery
Iliac Vein*
Leg
May-Thurner Syndrome*
Stents
Thrombosis*
Tomography, X-Ray Computed
Ultrasonography
Venous Thrombosis