Pelvic venous insufficiency secondary to iliac vein stenosis and ovarian vein reflux treated with iliac vein stenting alone

Author(s):  
Gaurav Lakhanpal ◽  
Rick Kennedy ◽  
Sanjiv Lakhanpal ◽  
Levan Sulakvelidze ◽  
Peter J. Pappas
2017 ◽  
Vol 5 (1) ◽  
pp. 149-150
Author(s):  
Ratnam Nookla ◽  
Sanjiv Lakhanpal ◽  
Vinay Satwah ◽  
Gaurav Lakhanpal ◽  
Michael Malone ◽  
...  

2018 ◽  
Vol 6 (2) ◽  
pp. 202-211 ◽  
Author(s):  
Ratnam K.N. Santoshi ◽  
Sanjiv Lakhanpal ◽  
Vinay Satwah ◽  
Gaurav Lakhanpal ◽  
Michael Malone ◽  
...  

2020 ◽  
Vol 11 (4) ◽  
pp. 64-69
Author(s):  
Daniel G. Gitelzon ◽  
Alexander G. Faybushevich ◽  
Daniel A. Maximkin ◽  
Galina I. Veretnik ◽  
Vladislav Yu. Baranovich ◽  
...  

Stenosis of the iliac veins is common in patients with chronic venous insufficiency. The article describes the methods for the diagnosis and treatment of iliac vein stenosis. The causes of iliac vein stenosis include extravasal compression or the consequences of ileofemoral thrombosis. Stenosis of the iliac veins exists in 1/4 of the entire adult population, but clinical manifestations do not occur in all patients. Stenosis of the iliac veins should be considered in case of an unknown edema, more often in the left lower extremity, since venous duplex ultrasound of lower extremities is not sensitive and specific enough when examining the veins above the inguinal ligament. The most accurate diagnostic method is intravascular ultrasound (IVUS) but the appeared computed tomography angiography (CTA) and magnetic resonance angiography (MRA) with high-quality images have become a good replacement for IVUS. The main method of treatment of iliac vein stenosis, besides stenting, isindispensable drug therapy consisting of antithrombotic and phlebotonic drugs.


2020 ◽  
pp. 026835552094761
Author(s):  
Martha-Gracia Knuttinen ◽  
Kenneth S Zurcher ◽  
Neal Khurana ◽  
Indravadan Patel ◽  
Amy Foxx-Orenstein ◽  
...  

Objectives Some patients with postural orthostatic tachycardia syndrome (POTS) demonstrate improved dysautonomic symptoms following treatment for pelvic venous insufficiency (PVI). This study assessed the prevalence of significant left common iliac vein (LCIV) compression in POTS patients. Methods Radiologists retrospectively reviewed CT images of pelvic veins for 216 women (191 with POTS and 25 age-comparable controls).Quantitative vascular analysis identified percent-diameter compression of the LCIV by the right common iliac artery. Significant LCIV compression was defined as >50%. Results Significant LCIV compression was found in 69% (131/191) of females with POTS versus 40% (10/25) in controls. The hypothesis that venous compression and presence of POTS are independent was rejected ( p = .005). Conclusions Significant LCIV compression was noted in a majority of female POTS patients, suggesting that incidence of iliac venous obstruction may be higher than the general population. Patients with POTS and symptoms of PVI may benefit from assessment for venous outflow obstruction.


Author(s):  
Peter Pappas ◽  
Gaurav Lakhanpal ◽  
Theresa Soto ◽  
Zoe Deol ◽  
Richard Kennedy ◽  
...  

2021 ◽  
Vol 9 (2) ◽  
pp. 551-552
Author(s):  
Matthew Wise ◽  
Gaurav Lakhanpal ◽  
Theresa Soto ◽  
Zoe Deol ◽  
Rick Kennedy ◽  
...  

1994 ◽  
Vol 31 (1) ◽  
pp. 59
Author(s):  
Sang Hoon Lee ◽  
Young Min Han ◽  
Ki Chul Choi ◽  
Chong Soo Kim ◽  
Eui Il Whang ◽  
...  

2019 ◽  
Author(s):  
David Beckett ◽  
Judy Holdstock ◽  
Angela White ◽  
Tim Fernandez-Hart ◽  
Mark Whiteley

2021 ◽  
pp. 1358863X2110036
Author(s):  
Seshadri Raju ◽  
William Walker ◽  
Chandler Noel ◽  
Riley Kuykendall ◽  
Thomas Powell ◽  
...  

Minimum iliac vein caliber necessary to maintain normal peripheral venous pressure can be derived by the Poiseuille equation. Duplex was compared to intravascular ultrasound (IVUS) in the assessment of iliac vein stenosis in this single center retrospective study. Parallel IVUS and duplex caliber data for common iliac vein (CIV) and external iliac vein (EIV) in 382 limbs were separately compared. One or both segments were stenotic by IVUS criteria in 213 limbs. Neither segment was stenotic by IVUS in 22 limbs. Bland–Altman analyses and Passing–Bablok linear regressions were used. Duplex calibers were dimensionally smaller than corresponding IVUS images of CIV and EIV segments in Bland–Altman comparison by a mean of 54 mm2 and 34 mm2, respectively. Passing–Bablok regression suggested the difference was due to a systematic bias and not proportional. Duplex yields a smaller cross-sectional image of CIV and EIV compared to IVUS. Duplex is not a reliable diagnostic test for iliac vein stenosis.


1993 ◽  
Vol 16 (3) ◽  
pp. 186-188 ◽  
Author(s):  
Nicolas Grenier ◽  
Hervé Rousseau ◽  
Catherine Douws ◽  
Jean-Charles Brichaux ◽  
Luc Potaux ◽  
...  

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