scholarly journals Stent Implantation for Iliac Compression Syndrome with Acute Deep Venous Thrombosis

2012 ◽  
Vol 23 (3) ◽  
pp. 283-293 ◽  
Author(s):  
Atsushi Funatsu ◽  
Shigeru Nakamura
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Stent Implantation ◽  
Compression Syndrome

Which criteria demand additive stenting during catheter-directed thrombolysis?

2014 ◽  
Vol 29 (1_suppl) ◽  
pp. 112-118 ◽  
Author(s):  
N Bækgaard ◽  
S Just ◽  
P Foegh
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Intravascular Ultrasound ◽  
Iliac Vein ◽  
Compression Syndrome ◽  
Potential Value ◽  
Catheter Directed Thrombolysis ◽  
Selection For

Many factors are necessary for obtaining satisfactory results after catheter-directed thrombolysis (CDT) for iliofemoral deep venous thrombosis (DVT). Selections of patients, composition of the thrombolytic fluid, anticoagulation per- and post-procedural, recognition and treatment of persistent obstructive lesions of the iliac veins are the most important contributors. Stenting has been known for 15 to 20 years. The first publication on CDT in 1991 was combined with ballooning the iliac vein, an additive procedure which has been abandoned as an isolated procedure. This chapter will discuss selection, indication, such as an iliac compression syndrome, and outcome of iliac stenting in combination with CDT. The reported frequency of stenting used after CDT is very inconsistent, therefore this will be discussed in details. It is concluded that selection for stenting is of the greatest importance, when CDT is used for iliofemoral DVT, but strict criteria for stenting are not available in the existing literature. The potential value of intravascular ultrasound (IVUS) is also discussed.

scholarly journals The therapeutic approach of the May-Thurner Syndrome without Deep Venous Thrombosis: a systematic review

10.3823/2431 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Modesto Leite Rolim Neto ◽  
Thaís Abreu Luedy ◽  
Isadora Rodrigues Da Costa ◽  
João Vitor Pimentel ◽  
Francisco Henrique Peixoto Da Silva
Keyword(s):  
Systematic Review ◽  
Surgical Treatment ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Endovascular Treatment ◽  
Therapeutic Approach ◽  
Radiofrequency Energy ◽  
Peripheral Vascular ◽  
Venous Flow ◽  
Compression Syndrome

May-Thurner Syndrome is a clinical condition which causes a variety of vascular symptoms, resulting from pelvic and lower extremity venous flow obstruction caused by the compression of the iliac vein by overlying iliac artery. Treatment paradigms have changed as experience with endovascular modalities has evolved, making traditional surgical treatment strategies essentially obsolete and a endovascular treatment with angioplasty and stenting along selective thrombolysis has become the standard for symptomatic the syndrome. The objective of this present study is to show the therapeutic approach in treatment when there’s no presence of Deep Venous Thrombosis (DVT) symptoms. To accomplish this purpose, a systematic review of articles about May-Thurner Syndrome and its management therapies, published from January 1, 2005 to September 20, 2015, on PubMED and SCOPUS databases, was carried out. Search terms were “may-thurner syndrome” (medical subject headings [MeSH term]), “iliocaval compression syndrome” (MeSH), “cockett syndrome” (MeSH), “peripheral vascular diseases” (MeSH), and “treatment” (keyword). Of the 89 retrieved studies, 14 met the elegibility criteria. Retrieved studies covered that without correction of this syndrome, patients are at continued risk for recurrent deep vein thrombosis and post-thrombotic syndrome. Considering the therapy, systemic anticoagulation is the first component, and endovascular treatment appears to be superior to conventional surgical treatment. It should be the first line of therapy. Furthermore, there has been multiple advences in the recent years for chronic arterial occlusions using techniques such as blunt micro dissection, radiofrequency energy and laser. In the absence of deep venous trombosis, conservative treatments are preferred. To conclude, based on the review of the literature, a combination of conservative and endovascular therapy usually provides the best treatment in most cases. Thus, further researches must be done to advance in the matter of therapeutic of the non-DVT form of May-Thurner Syndrome.   Keywords: May-Thurner Syndrome, Iliocaval Compression Syndrome, Cockett Syndrome, Peripheral Vascular Disease, Treatment.

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