Vasc Spec Int.  2021 Jun;37(2):18. 10.5758/vsi.200080.

Iliofemoral Vein Stenting in a Patient with Pelvic Metastasis

Affiliations
  • 1Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  • 2Phlebology Research Group, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • 3Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
  • 4Division of Vascular & Endovascular Surgery, Department of General & Vascular Surgery, Iran
  • 5Department of Radiology, Shohada-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

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.

Keyword

Iliac vein; Self expandable metallic stents; Pelvic neoplasms; Angioplastyc
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