Iliofemoral Vein Stenting in a Patient with Pelvic Metastasis

Autor: Sina Zarrintan, Negin Yavari, Niki Tadayon, Fuad Majidi, Seyed Masoud Hosseini, Hamidreza Haghighatkhah, Ehsan Parvas, Seyed Moahammad Reza Kalantar-Motamedi
Jazyk: English<br />Korean
Rok vydání: 2021
Předmět:
Zdroj: Vascular Specialist International, Vol 37 (2021)
Druh dokumentu: article
ISSN: 2288-7970
2288-7989
DOI: 10.5758/vsi.200080
Popis: 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.
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