Interventional treatment of iliac vein compression syndrome / 中华放射学杂志

ABSTRACT

Objective To explore the clinical significance of interventional treatment of iliac vein compression syndrome(IVCS). Methods Percutaneous transluminal angioplasty(PTA) was performed in 40 cases. Thirty three cases underwent endovascular stent implantation and 27 cases underwent second stage left saphenous vein ligation and stripping and the valves of left femoral veins narrowing. Thirty one cases were followed up postoperatively and the duration was 6～66 months (mean 28 months). Results The dilation of iliac veins was successful in 36 cases and there were good efficacy in all patients when they discharged from hospital. Followed up during post operation, all the limbs ulcers were cured and varicose veins disappeared. The skin pigmentation disappeared in 17 of 19 cases and markedly relieved in 2 cases. Left lower limb swelling disappeared in 15 of 17 cases and relieved in 2cases. Conclusion There is good efficacy in the interventional treatment of left iliac vein lesions, but second stage procedures should be performed in secondary lesions of saphenous veins and valves of femoral veins.