Venovo Venous Stent Treatment for a Special Type of May-thurner Syndrome with Deep Vein Thrombosis: a Case Report
Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v6i1.3684
Abstract
Iliac vein compression syndrome (IVCS) typically involves the compression of the left common iliac vein (LCIV) by the right common iliac artery (RCIA). This study presents a unique variant of IVCS where the right external iliac vein traversed between the right internal and external iliac arteries, leading to compression by these arteries. An 83-year-old male was hospitalized due to one week of swelling and pain in his right lower limb, which had worsened over the past day. Computed tomography (CT) revealed thrombosis in the right external iliac vein, right femoral vein, and right great saphenous vein, along with local compression and flattening of the right external iliac vein. After deploying a retrievable inferior vena cava filter via the left femoral vein, the patient underwent intravenous thrombolysis, thrombus aspiration, and received a Venovo vascular stent via the right femoral vein. Post-surgery, the venous blood flow in the right lower limb was restored. The swelling had significantly reduced, and the skin tension had decreased compared to preoperative levels. Our experience suggests that the Venovo stent is effective in managing unique forms of iliac vein compression, yielding favorable therapeutic outcomes and offering a novel avenue for treating specific IVCS presentations in clinical practice.
Keywords
venous stent, may-thurner syndrome, deep vein thrombosis
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[3] Cockett FB, Thomas ML (1965) The iliac compression syndrome. Br J Surg 52(10):816–821.
[4] Li J, Chen H, Chen W, Zhou K, Xu Z, Xu M, Sun Z. Novel typing of iliac vein compression in asymptomatic individuals evaluated by contrast enhanced CT. Surg Radiol Anat. 2021 Jul;43(7):1149-1157.
[5] Virk JS, Lookstein RA. Endovascular intervention in acute deep vein thrombosis. Minerva Cardioangiol. 2013 Apr;61(2):145-54.
[6] Chen ZL, Zhang XC, Sun Y, Xu M. Diagnosis and treatment of nonthrombotic right iliac vein compression syndrome. Ann Vasc Surg 2019;61:363–370.
[7] Chen F, Deng J, Hu XM, Zhou WM. Compression of the right iliac vein in asymptomatic subjects and patients with iliofemoral deep vein thrombosis. Phlebology 2016;31:471–480.
[8] Toguchi K, Iwahashi M, Takagaki Y, Noguchi Y, Nakamura T, Juri M, et al.. Right sided iliac compression syndrome. Jpn J Phlebol 2011;22:351–357.
[9] Tai E, Jaberi A, Oreopoulos GD, Forbes TL, Tan KT, Mafeld S. Diagnosis and management of right external iliac vein “sandwich”: a rare cause of iliofemoral deep venous thrombosis. J Vasc Surg Cases Innov Tech 2019;5:314–318.
[10] Molloy S, Jacob S, Buckenham T, Khaw KT, Taylor RS. Arterial compression of the right common iliac vein; an unusual anatomical variant. Cardiovasc Surg 2002;10:291–292.
[11] Sang HF, Li JH, Du XL, et al. Diagnosis and endovascular treatment of iliac venous compression syndrome. Phlebology. 2019;34(1):40–51.
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