Treatment of pelvic venous spur (May-Thurner syndrome) with self-expanding metallic endoprostheses

The application of self-expanding metallic endoprostheses (stents) to treat symptomatic pelvic venous spurs as an alternative to surgery. Wallstents with a diameter from 14 to 16 mm and one Cragg stent were placed in the left common iliac vein of eight patients (seven women, one man; mean age 42 yea...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 1998-01, Vol.21 (1), p.22-26
Main Authors: BINKERT, C. A, SCHOCH, E, STUCKMANN, G, LARGIADER, J, WIGGER, P, SCHOEPKE, W, ZOLLIKOFER, C. L
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Blood Flow Velocity
Blood Vessel Prosthesis
Diseases of the cardiovascular system
Edema - diagnostic imaging
Edema - surgery
Female
Follow-Up Studies
Humans
Iliac Vein - diagnostic imaging
Iliac Vein - surgery
LEGS
Male
Medical sciences
Metals
Middle Aged
PATIENTS
Phlebography
RADIOLOGY AND NUCLEAR MEDICINE
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Stents
SURGERY
SWELLING
Syndrome
Thrombectomy
THROMBOSIS
Thrombosis - diagnostic imaging
Thrombosis - surgery
VEINS
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Summary:The application of self-expanding metallic endoprostheses (stents) to treat symptomatic pelvic venous spurs as an alternative to surgery. Wallstents with a diameter from 14 to 16 mm and one Cragg stent were placed in the left common iliac vein of eight patients (seven women, one man; mean age 42 years) with a symptomatic pelvic venous spur (left deep venous thrombosis or post-thrombotic leg swelling). Four patients had surgical thrombectomy prior to stent placement. Technical success with immediate reduction of left leg circumference was achieved in all eight patients. A primary patency rate of 100% was observed during an average follow-up of 3 years (range 10-121 months). There were no procedural or stent-related complications. The percutaneous transfemoral placement of self-expanding metallic stents is an effective minimally invasive alternative to surgery in the treatment of symptomatic pelvic venous spur.
ISSN:0174-1551
1432-086X
DOI:10.1007/s002709900205