Transient arterial insufficiency and neurologic deficit following external iliac vein stent reconstruction for malignant compression

Autor: Aaron C. Daub, MD, PhD, David S. Shin, MD, Mark H. Meissner, MD, Christopher R. Ingraham, MD, Eric J. Monroe, MD, Jeffrey Forris Beecham Chick, MD, MPH, FCIRSE, FSVM
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 7, Iss 3, Pp 469-473 (2021)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2021.05.007
Popis: Acute iliofemoral deep vein thrombosis may present with pain and swelling or phlegmasia cerulea dolens. When thrombosis occurs in the setting of an underlying venous obstruction, stent reconstruction should be performed after thrombus clearance to prevent rethrombosis. Stent reconstruction after thrombus clearance is associated with high technical success rates and durable patency. This report describes transient lower extremity arterial insufficiency and neurologic deficit after external iliac vein stent expansion and reconstruction within a confined space resulting from a malignant obstruction. It serves as a cautionary tale that, in rare cases, aggressive venous stenting within a confined space can transfer clinically significant forces to adjacent arteries and nerves.
Databáze: Directory of Open Access Journals