Role of three-dimensional rotational venography in evaluation of the left iliac vein in patients with chronic lower limb edema

Hsieh, Ming-Chih; Chang, Pi-Feng; Hsu, Wen-Hsien; Yang, Shih-Hung; Chan, Wing P.

doi:10.1007/s10554-010-9745-6

Cited by 13 publications

(12 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…17 • The RCIA crosses the LCIV transversally, and in the case of compression, LCIV deformation is "very focal" 16 and oriented along its short axis. In turn, the LCIA courses juxtaposed to LCIV lateral aspect, 18 and in the case of compression, LCIV deformation is more distal, longer, eccentric, and almost parallel to the long axis of the LCIV (Fig 4, B).…”

Section: Discussionmentioning

confidence: 99%

The left common iliac artery also compresses the left common iliac vein

Caggiati

2011

Journal of Vascular Surgery

View full text Add to dashboard Cite

LCIV compression by the LCIA occurs in a relevant number of asymptomatic individuals and compression by the RCIA coexists in about one-half. The patterns of compression by LCIA correlate well with venographic and anatomic findings, which demonstrated damage of the LCIV unrelated to the RCIA crossing. Further investigations are needed to evaluate the hemodynamic and pathophysiologic implications of such compressive relationships. In fact, even if not necessarily associated with chronic venous disorders, LCIV compression by the overlying arteries must be considered a condition "permissive" of future development of chronic congestion or iliofemoral thrombosis.

show abstract

Section: Discussionmentioning

confidence: 99%

The left common iliac artery also compresses the left common iliac vein

Caggiati

2011

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…The image is being created, thanks to the fact that the lamp in the X-ray generator revolves around the patient, during the phlebography. This visualization is peculiarly helpful in case of compression from the outside and in case of bending of the stent [5].…”

Section: Intraoperative Examinationmentioning

confidence: 99%

The new era in the treatment of deep vein occlusion

Kęsik

Terlecki

Feldo

et al. 2015

Polish Journal of Public Health

View full text Add to dashboard Cite

A non-invasive, conservative treatment has been a standard in treating acute and chronic deep vein thrombosis. This treatment turned out to be ineffective, particularly in the hip area. Also, it was demonstrated that it does not influence the frequency of manifestations of post-thrombotic syndrome. Previous attempts to surgically reconstruct deep veins, unlike arteries reconstruction, yielded no positive results and also increased hemorrhagic and embolic complications. Currently, already in the period of the acute thrombosis of deep veins, the methods of early re-canalization, both with the application of targeted thrombolisis, as well as of pharmacomechanical methods, are applied.Thanks to a wide array of image examination methods applied in pre-operational and intra-operational diagnostics optimum, it is possible to plan a revascularising treatment in the sick individuals suffering from the already developed manifestations of the post-thrombotic syndrome.The development of endovascular methods, made possible thanks both to the surgeons' experience in the re-canalization field, as well as constant improvements of stents dedicated to the venous system, allowed for effective use of these techniques in curing the occlusion of deep veins. It was the case with the arterial system and works here as well. Applying the hybrid proceeding, combining opened techniques and endovascular ones, works very well in selected cases.

show abstract

“…They reported a 100 % occlusion rate and that no complications or device failures were seen during follow-up. Finally, Hsieh et al [8] described the role of three-dimensional rotational venography supplementary to two-dimensional (2D) digital subtraction venography (DSV) in the evaluation of the left iliac vein in patients with chronic lower limb edema in a group of 34 patients. They concluded that in patients with negative 2D images, additional 3D RV leads to higher diagnostic sensitivity, thereby providing a powerful tool for planning surgery and endovascular treatment.…”

Section: X-ray Angiographymentioning

confidence: 99%