Journal «Angiology and Vascular Surgery» • 

2019 • VOLUME 25 • №1

Stenting of calcified iliofemoral venous segment in post-thrombotic syndrome

Sonkin I.N.1, Borsuk D.A.2, Fokin A.A.3

1) Non-Governmental Healthcare Facility "Railway Clinical Hospital" of the Joint-Stock Company "Russian Railways", Saint Petersburg,
2) Clinic of Phlebology and Laser Surgery, Limited Liability Company "Vasculab",
3) Department of Surgery, Institute of Additional Professional Education, South Ural State Medical University of the RF Ministry of Public Health, Chelyabinsk, Russia

Stenting of the iliac veins in patients with post-thrombotic syndrome is an intervention associated with a low risk of complications, high primary and secondary patency rates, low incidence of restenosis, leading to a significant decrease in the severity of symptoms of chronic venous disease and a high rate of trophic ulcer healing, as compared with conservative therapy. Unlike subcutaneous veins, the formation of calcinates in deep veins after endured thrombosis is of considerably less frequent occurrence.

Described in the article is a clinical case report concerning successful stenting of the iliofemoral venous segment in a female patient presenting with post-thrombotic syndrome, a trophic ulcer of the crus, and the presence of linear calcinosis in the lumen of the iliac veins and common femoral vein. This case report demonstrates the possibilities of contemporary endovenous techniques in treatment of this cohort of patients. Despite calcified segments, stenting was performed without technical obstacles and with a favourable clinical outcome. Such interventions may be regarded as justified and safe provided the operating surgeon has appropriate skill and experience.

KEY WORDS: iliac vein stenting, post-thrombotic syndrome, calcinosis.

P. 87

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