Iliofemoral Vein Stenting in a Patient with Pelvic Metastasis

Vascular Specialist International

Sina Zarrintan¹  Hamidreza Haghighatkhah²  Fuad Majidi³  Ehsan Parvas³  Seyed Masoud Hosseini³  Niki Tadayon⁴  Seyed Moahammad Reza Kalantar-Motamedi⁴  Negin Yavari⁵ 

[1] Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran;Department of Radiology, Shohada-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Division of Vascular & Endovascular Surgery, Department of General & Vascular Surgery, Tehran, Iran;Phlebology Research Group, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran;

关键词: iliac vein;    self expandable metallic stents;    pelvic neoplasms;    angioplasty;   

DOI  :  10.5758/vsi.200080

来源: DOAJ

【 摘 要 】

We report a case of an 81-year-old woman with extensive pelvic lymphadenopathy that caused severe stenosis and occlusion of the right common and external iliac veins and proximal common femoral vein. Pelvic lymphadenopathy resulted from the recurrence of a previous right ovarian epithelial tumor. The patient had severe right lower extremity edema, consistent with severe venous insufficiency. She was treated with high-pressure balloon angioplasty (12-14 mm in diameter) and four self-expanding stents (14-10 mm diameter, 80-40 mm length). The postoperative response was dramatic to a near-complete resolution of the edema. The venous clinical severity scores were 10 and 2 at presentation and 6 months after the follow-up, respectively. Balloon angioplasty and stenting are safe and effective methods for providing symptomatic relief for lower extremity venous insufficiency in patients with extensive and unresectable pelvic masses.

【 授权许可】

Unknown