Hepatic venous outflow reconstruction using an external iliac vein graft for hepatic malignancies (with video)

Abstract Background Mycotic aneurysms are rare vascular lesions, occurring in 0.6–2% of arterial aneurysms but with no reported venous cases. Venous aneurysms unrelated to an underlying infectious process have been previously described and are typically surgically repaired due to risk of thromboembolic events. Case presentation This case reports a bleeding external iliac vein mycotic aneurysm secondary to erosion of a chronic pelvic abscess, successfully treated with endovascular stenting, in an oncologic patient without alternative therapeutic options. Conclusion Venous aneurysms are uncommon vascular lesions which have historically been treated with open surgical repair. Given the lower degree of procedural morbidity, endovascular management of these lesions may be an effective option in the appropriate setting, particularly as a last resort in patients without surgical treatment options.

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Computational Fluid Dynamics-based Assessment of Impaired Hepatic Venous Outflow after Liver Transplantation

HPB ◽

10.1016/j.hpb.2020.11.1047 ◽

2021 ◽

Vol 23 ◽

pp. S406-S407

Author(s):

T. Ito ◽

S. Ogiso ◽

M. Nakamura ◽

K. Fukumitsu ◽

T. Ishii ◽

...

Keyword(s):

Fluid Dynamics ◽

Computational Fluid Dynamics ◽

Liver Transplantation ◽

Venous Outflow ◽

Hepatic Venous Outflow

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External iliac vein compression and lower-extremity swelling caused by an iliopectineal ganglion: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-019-2223-4 ◽

2019 ◽

Vol 13 (1) ◽

Author(s):

Kiyokazu Fukui ◽

Ayumi Kaneuji ◽

Norio Kawahara

Keyword(s):

Lower Extremity ◽

Femoral Vein ◽

Signs And Symptoms ◽

Iliac Vein ◽

Needle Aspiration ◽

Case Presentation ◽

Vein Thrombosis ◽

External Iliac Vein ◽

Iliac Vein Compression ◽

Deep Vein

Abstract Background A hip joint ganglion is a rare cause of lower-extremity swelling. Case presentation We report a case of a Japanese patient with ganglion of the hip with compression of the external iliac/femoral vein that produced signs and symptoms mimicking those of deep vein thrombosis. Conclusions Needle aspiration of the ganglion was performed, and swelling of the lower extremity promptly decreased. At 7.5 years after aspiration, there was no recurrence of swelling of the leg. Although the recurrence rate for ganglions after needle aspiration is high, it is worthwhile trying aspiration first.

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Regarding “A spontaneous rupture of the external iliac vein revealed as a phlegmasia cerulea dolens with acute lower limb ischemia: Case report and review of the literature”

Journal of Vascular Surgery ◽

10.1067/mva.2003.15 ◽

2003 ◽

Vol 37 (1) ◽

pp. 244-246 ◽

Cited By ~ 1

Author(s):

Massimo Porcellini ◽

Giancarlo Bracale ◽

Francesco Paolo D'Armiento

Keyword(s):

Case Report ◽

Lower Limb ◽

Spontaneous Rupture ◽

Limb Ischemia ◽

Iliac Vein ◽

Review Of The Literature ◽

Lower Limb Ischemia ◽

External Iliac Vein ◽

Phlegmasia Cerulea Dolens

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Dimensional disparity between duplex and intravascular ultrasound in the assessment of iliac vein stenosis

Vascular Medicine ◽

10.1177/1358863x211003663 ◽

2021 ◽

pp. 1358863X2110036

Author(s):

Seshadri Raju ◽

William Walker ◽

Chandler Noel ◽

Riley Kuykendall ◽

Thomas Powell ◽

...

Keyword(s):

Intravascular Ultrasound ◽

Venous Pressure ◽

Iliac Vein ◽

Common Iliac Vein ◽

Systematic Bias ◽

Cross Sectional ◽

External Iliac Vein ◽

The Difference ◽

Vein Stenosis ◽

Linear Regressions

Minimum iliac vein caliber necessary to maintain normal peripheral venous pressure can be derived by the Poiseuille equation. Duplex was compared to intravascular ultrasound (IVUS) in the assessment of iliac vein stenosis in this single center retrospective study. Parallel IVUS and duplex caliber data for common iliac vein (CIV) and external iliac vein (EIV) in 382 limbs were separately compared. One or both segments were stenotic by IVUS criteria in 213 limbs. Neither segment was stenotic by IVUS in 22 limbs. Bland–Altman analyses and Passing–Bablok linear regressions were used. Duplex calibers were dimensionally smaller than corresponding IVUS images of CIV and EIV segments in Bland–Altman comparison by a mean of 54 mm2 and 34 mm2, respectively. Passing–Bablok regression suggested the difference was due to a systematic bias and not proportional. Duplex yields a smaller cross-sectional image of CIV and EIV compared to IVUS. Duplex is not a reliable diagnostic test for iliac vein stenosis.

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