Document Detail


Chronic venous obstruction: diagnostic considerations and therapeutic role of percutaneous iliac stenting.
MedLine Citation:
PMID:  17976327     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Iliac venous outflow obstruction has an important role in the expression of symptomatic chronic venous insufficiency. This anatomic obstruction is frequently overlooked, owing in part to diagnostic difficulty. The combination of venous obstruction and reflux leads to more severe clinical disease. Current diagnostic modalities do not allow an definitive assessment of hemodynamically critical venous obstruction. No single invasive or noninvasive study can accurately detect borderline obstruction of potential hemodynamic significance. A high index of suspicion is critical in the initial recognition of chronic venous obstruction. The diagnosis relies on clinical signs and symptoms and radiologic assessment of morphologic venous outflow obstruction. Treatment strategy should be based on the results of morphologic investigations such as transfemoral phlebography or, preferably, intravascular ultrasonography. Percutaneous iliac venous stenting offers a safe and efficient method to correct pelvic venous obstruction. Percutaneous iliac stenting does not preclude subsequent venous bypass or corrective superficial and deep reflux surgery. This article reviews the etiologic factors and diagnostic modalities of iliac venous obstruction. The therapeutic role of percutaneous iliac stenting in the management of venous obstruction is also discussed.
Authors:
Peter Neglén
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Vascular     Volume:  15     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2007 Sep-Oct
Date Detail:
Created Date:  2007-11-02     Completed Date:  2008-05-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  273-80     Citation Subset:  IM    
Affiliation:
River Oaks Hospital, Flowood, MS 39232, USA. neglenmd@earthlink.net
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MeSH Terms
Descriptor/Qualifier:
Chronic Disease
Constriction, Pathologic / diagnosis,  surgery
Humans
Iliac Vein / pathology,  surgery*
Leg / blood supply
Peripheral Vascular Diseases / diagnosis*,  surgery
Stents*
Surgical Procedures, Minimally Invasive
Venous Insufficiency / diagnosis*,  surgery
Venous Thrombosis / diagnosis,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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