Perspectives in Vascular Surgery and Endovascular Therapy

 

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Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 16, No. 3, 223-232 (2004)
DOI: 10.1177/153100350401600314
© 2004 SAGE Publications

Endovascular Treatment for Chronic Iliofemoral Venous Obstruction

Haraldur Bjarnason, MD

Section of Vascular/Interventional Radiology, Mayo Clinic, Rochester, Minnesota; HXB07{at}EXRCH.Mayo.Edu

Treatment of chronic iliac vein thrombosis using endoluminal stents has become a therapeutic alternative for a clinical problem that is often severe. Spontaneous recanalization of chronically occluded deep veins is almost always possible, but iliac vein recanalization is much less frequent in patients who have poor inflow or have associated thrombosis of the inferior vena cava. The technical success rate of iliac vein stenting is quite good, and both clinical outcomes and patency rates are satisfactory. This article focuses on the technical aspects of the procedure as well as on clinical and procedural outcomes.

Key Words: iliac veins • stents • deep vein thrombosis • recanalization


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