Iliac vein compression: epidemiology, diagnosis and treatment
Qais Radaideh, Neel M Patel, Nicolas W ShammasMidwest Cardiovascular Research Foundation, Davenport, IA, USAAbstract: Iliac vein compression (LIVC) is a prevalent finding in the general population, but a smaller number of patients are symptomatic. ILVC should be considered in symptomatic patients wi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2019-05-01
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| Series: | Vascular Health and Risk Management |
| Subjects: | |
| Online Access: | https://www.dovepress.com/iliac-vein-compression-epidemiology-diagnosis-and-treatment-peer-reviewed-article-VHRM |
| _version_ | 1818906751339069440 |
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| author | Radaideh Q Patel NM Shammas NW |
| author_facet | Radaideh Q Patel NM Shammas NW |
| author_sort | Radaideh Q |
| collection | DOAJ |
| description | Qais Radaideh, Neel M Patel, Nicolas W ShammasMidwest Cardiovascular Research Foundation, Davenport, IA, USAAbstract: Iliac vein compression (LIVC) is a prevalent finding in the general population, but a smaller number of patients are symptomatic. ILVC should be considered in symptomatic patients with unexplained unilateral lower leg swelling. Patients typically complain of one or more of the following symptoms: lower leg pain, heaviness, venous claudication, swelling, hyperpigmentation and ulceration. ILVC can be thrombotic, combined with acute or chronic DVT, or non-thrombotic. ILVC is best diagnosed with intravascular ultrasound (IVUS), but computed tomography angiography (CTA) and magnetic resonance angiography (MRA) have emerged as valid screening tests. Venography underestimates the severity of ILVC but may provide insights into the anatomy and the presence of collaterals. Based on current available evidence, endovascular therapy with stenting remains the main treatment strategy for ILVC. Dedicated nitinol venous stents are currently under review by the Food and Drug Administration for potential approval in the United States. These stents have been released outside the US. There is no consensus to the optimal anticoagulation regimen post-ILVC stenting. Oral anticoagulants, however, remain a preferred therapy in patients with history of thrombotic ILVC.Keywords: iliac vein, may-thurner, treatment, stent, imaging |
| first_indexed | 2024-12-19T21:44:12Z |
| format | Article |
| id | doaj.art-d6392242705641e8a5e3203684c1ff6f |
| institution | Directory Open Access Journal |
| issn | 1178-2048 |
| language | English |
| last_indexed | 2024-12-19T21:44:12Z |
| publishDate | 2019-05-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Vascular Health and Risk Management |
| spelling | doaj.art-d6392242705641e8a5e3203684c1ff6f2022-12-21T20:04:34ZengDove Medical PressVascular Health and Risk Management1178-20482019-05-01Volume 1511512245720Iliac vein compression: epidemiology, diagnosis and treatmentRadaideh QPatel NMShammas NWQais Radaideh, Neel M Patel, Nicolas W ShammasMidwest Cardiovascular Research Foundation, Davenport, IA, USAAbstract: Iliac vein compression (LIVC) is a prevalent finding in the general population, but a smaller number of patients are symptomatic. ILVC should be considered in symptomatic patients with unexplained unilateral lower leg swelling. Patients typically complain of one or more of the following symptoms: lower leg pain, heaviness, venous claudication, swelling, hyperpigmentation and ulceration. ILVC can be thrombotic, combined with acute or chronic DVT, or non-thrombotic. ILVC is best diagnosed with intravascular ultrasound (IVUS), but computed tomography angiography (CTA) and magnetic resonance angiography (MRA) have emerged as valid screening tests. Venography underestimates the severity of ILVC but may provide insights into the anatomy and the presence of collaterals. Based on current available evidence, endovascular therapy with stenting remains the main treatment strategy for ILVC. Dedicated nitinol venous stents are currently under review by the Food and Drug Administration for potential approval in the United States. These stents have been released outside the US. There is no consensus to the optimal anticoagulation regimen post-ILVC stenting. Oral anticoagulants, however, remain a preferred therapy in patients with history of thrombotic ILVC.Keywords: iliac vein, may-thurner, treatment, stent, imaginghttps://www.dovepress.com/iliac-vein-compression-epidemiology-diagnosis-and-treatment-peer-reviewed-article-VHRMIliac veinMay-ThurnerTreatmentStentImaging |
| spellingShingle | Radaideh Q Patel NM Shammas NW Iliac vein compression: epidemiology, diagnosis and treatment Vascular Health and Risk Management Iliac vein May-Thurner Treatment Stent Imaging |
| title | Iliac vein compression: epidemiology, diagnosis and treatment |
| title_full | Iliac vein compression: epidemiology, diagnosis and treatment |
| title_fullStr | Iliac vein compression: epidemiology, diagnosis and treatment |
| title_full_unstemmed | Iliac vein compression: epidemiology, diagnosis and treatment |
| title_short | Iliac vein compression: epidemiology, diagnosis and treatment |
| title_sort | iliac vein compression epidemiology diagnosis and treatment |
| topic | Iliac vein May-Thurner Treatment Stent Imaging |
| url | https://www.dovepress.com/iliac-vein-compression-epidemiology-diagnosis-and-treatment-peer-reviewed-article-VHRM |
| work_keys_str_mv | AT radaidehq iliacveincompressionepidemiologydiagnosisandtreatment AT patelnm iliacveincompressionepidemiologydiagnosisandtreatment AT shammasnw iliacveincompressionepidemiologydiagnosisandtreatment |