A Case of Successful Iliofemoral Vein Stenting from Great Saphenous Vein Access

  • Hae Won Jung Department of Cardiology, Daegu Catholic University Medical Center, Daegu, Republic of Korea
  • Chul-Min Ahn Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seodaemun-gu, Seoul, Republic of Korea
  • Young-Guk Ko Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seodaemun-gu, Seoul, Republic of Korea

Abstract

Chronic venous disease is strongly associated with morbidity and leads to considerable medical costs. Therefore, its clinical significance is very important. Currently, iliac vein stenting is the first treatment option for chronic venous disease due to iliac vein obstruction. For iliac vein stenting, ipsilateral femoral or popliteal vein access is common. However, great saphenous vein access may be a good alternative if there is obstruction in the ipsilateral femoropopliteal vein. Until now, there has been no reported case of successful iliac vein stenting using great saphenous vein access. We report the first successful case of iliofemoral vein stenting from great saphenous vein access.

References

Baliyan V, Tajmir S, Hedgire SS, Ganguli S, Prabhakar AM. 2016. Lower extremity venous reflux. Cardiovasc Diagn Ther 6(6):533-43.

Black CM. 2014. Anatomy and physiology of the lower-extremity deep and superficial veins. Tech Vasc Interv Radiol 17(2):68-73.

Eklof B, Perrin M, Delis KT, Rutherford RB, Gloviczki P. 2009. Updated terminology of chronic venous disorders: the VEIN-TERM transatlantic interdisciplinary consensus document. J Vasc Surg 49(2):498-501.

Liu G, Liu X, Wang R, et al. 2018. Catheter-directed thrombolysis of acute entire limb deep vein thrombosis from below the knee access: a retrospective analysis of a single-center experience. Catheter Cardiovasc Interv 91(2):310-7.

Mussa FF, Peden EK, Zhou W, Lin PH, Lumsden AB, Bush RL. 2007. Iliac vein stenting for chronic venous insufficiency. Tex Heart Inst J 34(1):60-6.

Neglen P, Hollis KC, Olivier J, Raju S. 2007. Stenting of the venous outflow in chronic venous disease: long-term stent-related outcome, clinical, and hemodynamic result. J Vasc Surg 46(5):979-90.

Raju S, Neglen P. 2009. Chronic venous insufficiency and varicose veins. N Engl J Med 360(22):2319-27.

Raju S, Neglen P. 2009. Percutaneous recanalization of total occlusions of the iliac vein. J Vasc Surg 50(2):360-368.

Raju S, Darcey R, Neglen P. 2010. Unexpected major role for venous stenting in deep reflux disease. J Vasc Surg 51(2):401-8; discussion 408.

Razavi MK, Jaff MR, Miller LE. 2015. Safety and effectiveness of stent placement for iliofemoral venous outflow obstruction: systematic review and meta-analysis. Circ Cardiovasc Interv 8(10):e002772.

Seager MJ, Busuttil A, Dharmarajah B, Davies AH. 2016. Editor’s Choice – a systematic review of endovenous stenting in chronic venous disease secondary to iliac vein obstruction. Eur J Vasc Endovasc Surg. 51(1):100-120.

Wen-da W, Yu Z, Yue-Xin C. 2016. Stenting for chronic obstructive venous disease: a current comprehensive meta-analysis and systematic review. Phlebology. 31(6):376-89.

Published
2018-11-14
Section
Articles