Ann Phlebology.  2023 Dec;21(2):99-101. 10.37923/phle.2023.21.2.99.

Successful Stenting Case of Iliofemoral Venous Occlusive Segment in Postthrombotic Syndrome with Venous Ulcer

• Bak YB
• Byun SJ
• Jeon JW
• Jang JL
• Kim DJ

• KMID: 2549989
• DOI: http://doi.org/10.37923/phle.2023.21.2.99

Abstract

Chronic venous ulcers are a debilitating condition that often significantly impacts the quality of life due to their tendency to recur. Recently, we encountered a case of challenging chronic obstructive iliofemoral venous disease, presenting as postthrombotic syndrome with a venous ulcer. Venous duplex ultrasound revealed evidence of venous reflux in the left great saphenous vein and small saphenous vein. A CT venogram indicated occlusion in the proximal femoral vein, common femoral vein, and external iliac veins, with collateral veins in the lower abdomen. This lesion was treated using a combination of two types of venous stents. A one-month follow-up revealed improvement in the patient’s edema and ulcer.

Keyword

Ulcer; Postthrombotic syndrome; Stents; Vein