Vasc Spec Int.  2017 Dec;33(4):166-169. 10.5758/vsi.2017.33.4.166.

Femoral Endovenectomy with Iliac Stenting for Chronic Iliofemoral Venous Occlusion

Affiliations
  • 1Division of Vascular Surgery, Department of Surgery, Seoul National University Hospital, Seoul, Korea. skminmd@snuh.org

Abstract

A 62-year-old man with progressive swelling on his left thigh and leg was referred to the Division of Vascular Surgery. Anticoagulation therapy did not prevent or improve the symptoms of chronic deep vein thrombosis (DVT) from his left external iliac vein to posterior tibial vein. He had no trauma history nor any accidents. He underwent femoral endovenectomy, thrombectomy and stent insertion in left iliac vein. The patient had additional balloon angioplasty for stenosis in left common femoral vein. He had an uneventful postoperative recovery without complication. Leg swelling has been improving and follow-up continues under anticoagulation. We report a case of femoral endovenectomy with iliac stenting, which may be an efficacious treatment for chronic DVT.

Keyword

Endovenectomy; Iliac vein; Stent; Venous thrombosis

MeSH Terms

Angioplasty, Balloon
Constriction, Pathologic
Femoral Vein
Follow-Up Studies
Humans
Iliac Vein
Leg
Middle Aged
Stents*
Thigh
Thrombectomy
Veins
Venous Thrombosis
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