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Mid-term results of endovascular treatment for symptomatic chronic nonmalignant iliocaval venous occlusive disease  Olivier Hartung, MD, Andres Otero,

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Presentation on theme: "Mid-term results of endovascular treatment for symptomatic chronic nonmalignant iliocaval venous occlusive disease  Olivier Hartung, MD, Andres Otero,"— Presentation transcript:

1 Mid-term results of endovascular treatment for symptomatic chronic nonmalignant iliocaval venous occlusive disease  Olivier Hartung, MD, Andres Otero, MD, Mourad Boufi, MD, Giovani Decaridi, MD, Pierre Barthelemy, MD, PhD, Claude Juhan, MD, Yves S. Alimi, MD, PhD  Journal of Vascular Surgery  Volume 42, Issue 6, Pages (December 2005) DOI: /j.jvs Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Perioperative angiography in a patient with pelvic congestion syndrome caused by May-Thurner syndrome. A, Computed tomographic scan showing left common iliac vein stenosis. B, Angiography: tight stenosis of the left common iliac vein with large transversal collateral pathways. C, After angioplasty and stenting, the collateral pathways are no longer opacified. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 A 32-year-old woman who had had left deep venous thrombosis during pregnancy 2 years before. A, Angiography showing complete occlusion of the left common iliac vein with large transversal and ascendant collateral pathways. B, After recanalization and stenting with an 80-mm-long Wallstent. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Restenosis at 8 months. A, Color Doppler scan showing an angulation at the caudal side of the stent. B and C, Face and profile angiography showing restenosis due to an angulation of the vein at the caudal side of the stent with collateral pathways. D and E, Face and profile angiography after iterative stenting: absence of residual stenosis and regression of the collateral pathways. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Cumulative primary, assisted primary, and secondary patency rates of 44 patients admitted for endovascular treatment of chronic iliocaval occlusive disease (intention to treat). Standard error was more than 10% at 30 months for primary patency, at 48 months for assisted primary patency, and at 57 months for secondary patency (the curves are represented as dotted lines when SEM is >10%). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

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