Page 31 - Virtual Vascular Vol 5

SZH Vein 2 pre.mp4

A third patient, F/65, 3+months after
L iliofemoral DVT. L lower limb still

very swollen. This would be regarded
as treatment for post-thrombotic syn-
drome.

Venous intervention was performed by
a retrograde puncture of her left pop-
liteal vein, showing residual stenosis in
the left external iliac vein and occluded
left common iliac vein.

SZG Vein 2 post.mp4 The left iliac vein occlusion was recan-

alized with balloon angioplasty and
placement of a venous stent. A tem-
porary IVC filter was placed during the
procedure to guard against pulmonary
embolism. Immediate angiographic
and clinical results were pleasing.

Long term success would be judged by
symptomatic relief, stent patency, as

well as the incidence of chronic venous
hypertension sequelae (swelling, skin
changes, and ulceration)

Patency rates at 12 months are around
80% and worse for post-thrombotic
cases. There are now dedicated venous
stents which hopefully may improve
long term results.

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