title: Reversal of deep vein reflux after successful stenting in a patient with venous hypertension after thigh access graft creation.
abstract: Presented here is a case of reversal of deep vein reflux after successful stenting in a patient with venous hypertension and valve incompetence after thigh angioaccess creation. The patient with exhausted upper-extremity access sites underwent a loop graft in the upper thigh. Six months later, the patient developed leg edema and significant femoral vein reflux on duplex ultrasound. Fistulography revealed an iliac vein stenosis, which was treated successfully with stenting. The edema and reflux on duplex promptly resolved. In similar cases, reflux may be a consequence of functional valve incompetence and can be reverted by timely treating the underlying stenosis.
authors.affiliation: Department of Vascular Surgery, Demokritos University Hospital, Alexandroupolis, Greece.
authors.forename: George A
authors.initials: GA
authors.lastname: Antoniou
authors.forename: George S
authors.initials: GS
authors.lastname: Georgiadis
authors.forename: Vasilios D
authors.initials: VD
authors.lastname: Souftas
authors.forename: Savas P
authors.initials: SP
authors.lastname: Deftereos
authors.forename: Miltos K
authors.initials: MK
authors.lastname: Lazarides
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D003251:Constriction, Pathologic; D004487:Edema / Q000209:etiology / Q000628:therapy; D005260:Female; D005268:Femoral Vein / Q000000981:diagnostic imaging; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D016491:Peripheral Vascular Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D010690:Phlebography; D006435:Renal Dialysis; D015607:Stents; D013848:Thigh / Q000098:blood supply*; D016896:Treatment Outcome; D014689:Venous Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D014690:Venous Pressure