Diagnosis and management of right external iliac vein “sandwich”: A rare cause of iliofemoral deep venous thrombosis

Elizabeth Tai, MD, PhD; Arash Jaberi, MD, MEd; George D. Oreopoulos, MD, MSc; Thomas L. Forbes, MD; Kong Teng Tan, MD; Sebastian Mafeld, MBBS

Journal of Vascular Surgery Cases and Innovative Techniques (Sep 2019)

Diagnosis and management of right external iliac vein “sandwich”: A rare cause of iliofemoral deep venous thrombosis

Elizabeth Tai, MD, PhD,
Arash Jaberi, MD, MEd,
George D. Oreopoulos, MD, MSc,
Thomas L. Forbes, MD,
Kong Teng Tan, MD,
Sebastian Mafeld, MBBS

Affiliations

Elizabeth Tai, MD, PhD: Division of Vascular and Interventional Radiology, Joint Department of Medical Imaging, University Health Network, University of Toronto, Toronto, Ontario, Canada; Correspondence: Elizabeth Tai, MD, PhD, Toronto General Hospital, 200 Elizabeth St, Toronto, ON M5G 2C4, Canada
Arash Jaberi, MD, MEd: Division of Vascular and Interventional Radiology, Joint Department of Medical Imaging, University Health Network, University of Toronto, Toronto, Ontario, Canada
George D. Oreopoulos, MD, MSc: Division of Vascular and Interventional Radiology, Joint Department of Medical Imaging, University Health Network, University of Toronto, Toronto, Ontario, Canada; Division of Vascular Surgery, Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada
Thomas L. Forbes, MD: Division of Vascular Surgery, Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada
Kong Teng Tan, MD: Division of Vascular and Interventional Radiology, Joint Department of Medical Imaging, University Health Network, University of Toronto, Toronto, Ontario, Canada
Sebastian Mafeld, MBBS: Division of Vascular and Interventional Radiology, Joint Department of Medical Imaging, University Health Network, University of Toronto, Toronto, Ontario, Canada

Journal volume & issue: Vol. 5, no. 3
pp. 314 – 318

Abstract

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Several anatomic abnormalities predispose patients to iliofemoral deep venous thrombosis, the most common of which is compression of the left iliac vein between the right common iliac artery and lumbar vertebrae, or May-Thurner syndrome. Other areas of venous compression can occur but are rare. This case report describes the presentation, diagnosis, and management of a patient with compression of the right iliac vein “sandwiched” between the right internal and external iliac arteries. After treatment, the patient demonstrated significant improvement in symptoms. Keywords: Deep venous thrombosis, Venous intervention, Pharmacomechanical thrombolysis, Catheter-directed thrombolysis

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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