scholarly journals Radiation induced vasculitis of iliac veins: presentation of a case and therapeutic dilemmas

2020 ◽  
Vol 7 (6) ◽  
pp. 2006
Author(s):  
Georgios Galanopoulos
Keyword(s):  
Prostate Cancer ◽  
Conservative Treatment ◽  
Oral Anticoagulants ◽  
Iliac Vein ◽  
Lower Limbs ◽  
Pelvic Irradiation ◽  
External Iliac Vein ◽  
Radiation Induced ◽  
Elastic Stockings ◽  
Vein Stenosis

A case of radiation-induced venous stenosis (phlebitis) after pelvic irradiation in a patient with prostate cancer is reported. Progressive swelling of both lower limbs developed due to bilateral external iliac vein stenosis. Conservative treatment with new oral anticoagulants and elastic stockings was conducted with clinical improvement of symptoms. Serial duplex scanning with trimestral frequency reveals no other progression of stenosis and the patient is well 2 years after diagnosis. Lack of data in the current literature makes management of this disease problematic.

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

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.

External iliac vein stenosis after segmental pancreatic transplantation: Treatment by percutaneous endoprosthesis

1993 ◽  
Vol 16 (3) ◽  
pp. 186-188 ◽  
Author(s):  
Nicolas Grenier ◽  
Hervé Rousseau ◽  
Catherine Douws ◽  
Jean-Charles Brichaux ◽  
Luc Potaux ◽  
...  
Keyword(s):  
Iliac Vein ◽  
Pancreatic Transplantation ◽  
External Iliac Vein ◽  
Segmental Pancreatic Transplantation ◽  
Vein Stenosis

scholarly journals Optimization of tactics of the acute varicotrombophlebitis

2020 ◽  
pp. 105-113
Author(s):  
E. P. Krivoschekov ◽  
A. V. Poseryaev ◽  
E. B. Elshin ◽  
V. E. Romanov ◽  
A. V. Kazantsev
Keyword(s):  
Conservative Treatment ◽  
Standard Therapy ◽  
Oral Anticoagulants ◽  
Direct Oral Anticoagulants ◽  
Treatment Method ◽  
Lower Limbs ◽  
Efficacy And Safety ◽  
Operative And Conservative Treatment ◽  
Basic Treatment

In this article the authors write about the main points of diagnostics and treatment of thrombophlebitis of the lower limbs surface veins, about the tactics of operative and conservative treatment in the hospital and at the outpatient stage in 38 patients. The proposed treatment method refers to the use of venotonics Venarus, oral fibrinolytic Thrombovazim and direct oral anticoagulants in combination with the basic treatment of this pathology. The proposed method is described in detail and the efficacy and safety of this treatment is analyzed in comparison with the standard therapy.

scholarly journals Endovascular treatment of external iliac vein stenosis caused by graft compression after kidney transplantation

2013 ◽  
Vol 12 (2) ◽  
pp. 170-173
Author(s):  
Willamax Oliveira de Sousa ◽  
Francisco Henrique Peixoto da Silva ◽  
Roberto Jamacaru Aquino Filho ◽  
Danilo Rocha Paz
Keyword(s):  
Renal Function ◽  
Kidney Transplantation ◽  
Vascular Complications ◽  
Iliac Vein ◽  
Vascular Complication ◽  
Kidney Graft ◽  
Success Rates ◽  
External Iliac Vein ◽  
Extrinsic Compression ◽  
Vein Stenosis

A 57-year old patient presented with approximately 80% stenosis of the left external iliac vein due to compression by the renal graft after kidney transplantation. The initial clinical manifestation of this vascular complication was progressive edema of the left lower limb, starting in the foot during the immediate postoperative period and reaching the thigh. Renal function also deteriorated during the first four months after transplantation. Venous Doppler ultrasound findings were suggestive of a diagnosis of extrinsic compression by the kidney graft and so phlebography was ordered, confirming stenosis of the left external iliac vein. The patient was initially treated with balloon angioplasty, but there was still residual stenosis so a stent was inserted, eliminating the stenosis. The edema reduced over time and the patient's renal function improved. While vascular complications are rare, and potentially severe, events, success rates are good if treatment is started early.

The role of circumflex femoral veins in the saphenofemoral junction incompetence: a case report

2011 ◽  
Vol 26 (3) ◽  
pp. 121-124
Author(s):  
F Passariello
Keyword(s):  
Great Saphenous Vein ◽  
Femoral Vein ◽  
Anatomical Variations ◽  
Iliac Vein ◽  
Lower Limbs ◽  
Valsalva Manoeuvre ◽  
External Iliac Vein ◽  
The Common ◽  
Saphenofemoral Junction

A 31 year-old female patient, an opera singer, came for a consultation, mainly for aesthetic problems of the lower limbs. An asymptomatic bilateral P-point pelvic shunt was demonstrated by the EchoDoppler, while no nutcracker syndrome was detected. The examination demonstrated a medial circumflex femoral vein (MCFV), going into the common femoral vein and then into the great saphenous vein (GSV). The Valsalva manoeuvre showed the GSV terminal valve incompetence. A dilated MCFV vein at the level of the saphenofemoral junction was the source of the reflux through the GSV, while the external iliac vein was competent. GSV reflux with Valsalva was present only in the lying position. Flow in the MCFV was directed toward the CFV during and after the Valsalva. The examination shows clearly that a GSV reflux can sometimes occur in absence of iliac reflux. Circumflex femoral veins (medial and lateral) are anatomical variations, but common findings during ordinary EchoColourDoppler investigations of the venous system of the lower limbs.

External Iliac Vein Stenosis Owing to Prolonged Cycling

Vascular ◽  
2010 ◽  
Vol 18 (2) ◽  
pp. 111-115 ◽  
Author(s):  
A. Salam ◽  
J. Chung ◽  
R. Milner
Keyword(s):  
Iliac Vein ◽  
External Iliac Vein ◽  
Vein Stenosis

scholarly journals A Case of Endovascular Stenting in a Patient with External Iliac Vein Stenosis Caused by Malignancy.

2001 ◽  
Vol 62 (12) ◽  
pp. 2892-2895
Author(s):  
Harumi MATSUMOTO ◽  
Osamu MIYAZAKI ◽  
Takeshi KASHIMA ◽  
Mutsuo TAKAGI ◽  
Seiichi YASUI ◽  
...  
Keyword(s):  
Iliac Vein ◽  
Endovascular Stenting ◽  
External Iliac Vein ◽  
Vein Stenosis

A Case of Isolated External Iliac Vein Compression Syndrome and the Role of Advanced Imaging

2020 ◽  
Vol 54 (6) ◽  
pp. 536-539
Author(s):  
Osama Mukarram ◽  
Khagendra Dahal ◽  
Michael Azrin ◽  
Juyong Lee
Keyword(s):  
External Iliac Artery ◽  
Iliac Vein ◽  
Venous Hypertension ◽  
Ulcer Formation ◽  
External Iliac Vein ◽  
Compression Syndrome ◽  
Iliac Vein Compression ◽  
Iliac Vein Compression Syndrome ◽  
Vein Stenosis

Isolated external iliac vein compression syndrome is an uncommon cause of nonthrombotic venous stenosis that causes chronic venous hypertension leading to painful swelling, skin discoloration, and ulcer formation. We present a case of an 86-year old man with refractory lower extremity edema for several years who had been treated with diuretics and antibiotics without relief of symptoms. With the help of invasive and noninvasive imaging modalities, we were able to diagnose and manage isolated nonthrombotic left external iliac vein stenosis as a result of ipsilateral external iliac artery compression.

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