CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S30
DOI: 10.1055/s-0041-1730730
Abstract

Role of Endovascular Management in Treatment of postphlebitic Iliocaval Obstruction Patients

Mohamed Ismail
Ain Shams University, Cairo, Egypt
,
Amr Mahmoud
Ain Shams University, Cairo, Egypt
› Author Affiliations

Background: The aim of research is to evaluate our experience of endovascular management in treatment of postphlebitic iliocaval obstruction in Ain Shams University Hospitals. Methods: This is a prospective cohort study. Thirty patients (20 female/10 male) aged between 30 and 45 years old presented with lower limb iliofemoral deep venous thrombosis 6–12 months ago. They received treatment for at least 6 months in the form of anticoagulation and elastic stocking. They were complaining of unilateral lower limb swelling which did not improve with conservative management and secondary varicose veins. High pressure balloons 14, 16, and 18 were used in all cases. Twenty-four cases were stented. Seventeen were stented by Wallstent while 7 by venous stents. Results: Follow-up was done at 3, 6, 9, 12, 18, and 24 months using duplex; 6 cases failed due to failure to pass the wire (4 cases), venous perforation (2 cases); 20 of 24 patients who received stents were patent, while 4 were occluded (2 of them succeeded to recanalized by thrombolysis). Conclusion: Endovascular management has a role in the treatment of postphlebitic iliocaval obstruction patients and need strict follow-up.



Publication History

Article published online:
11 May 2021

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