Iliofemoral stenting for chronic venous occlusive disease: Initial and mid-term outcomes in single institution

Abstract

Aim of the work: To evaluate and report the initial and midterm outcomes of endovascular venous stenting in cases suffering from chronic venous insufficiency due to iliac and common femoral vein obstruction. Patients & methods: Patients with chronic venous insufficiency were referred to our institution during the period from January 2014 to October 2015. CT venography was performed to evaluate site and extent of proximal venous stenosis or obstruction. Then conventional venography and endovascular stenting were done. The patency of the stents was assessed at short and midterm follow-up examinations. Results: CT venography revealed proximal iliac vein obstruction in 9 cases and common femoral vein obstruction in 3 cases. All were post-thrombotic. Technical success was 67% (8/12) with no immediate major complications. Follow-up CT venography done 1 month post-procedure revealed no restenosis. After one year 8 patients showed overall improvement of symptoms with decrease in lower limb edema, swelling and pain. Conclusion: Stent implantation for symptomatic ilio-femoral venous obstruction is a safe and effective procedure to resolve venous disease symptoms. Despite the small number of patients, initial and mid-term outcome has been good.

Keywords

• Ilio-femoral
• Venoplasty
• Stenting
• CT venography