title: Endovenectomy of the common femoral vein and intraoperative iliac vein recanalization for chronic iliofemoral venous occlusion.
abstract: Chronic postthrombotic occlusion of the iliofemoral venous segments produces severe morbidity, which can be alleviated if venous drainage is restored. The common femoral vein (CFV) cannot always be fully recanalized with percutaneous endovenous techniques alone. We report the technique combining operative endovenectomy and patch venoplasty of the CFV with intraoperative iliac vein venoplasty and stenting to restore unobstructed venous drainage from the infrainguinal venous system to the vena cava. This procedure led to reduced pain, edema, and healing of a long-standing venous ulcer, with a marked reduction in postthrombotic morbidity.
authors.affiliation: Jobst Vascular Center, The Toledo Hospital, Toledo, OH 43606, USA. marilyn.gravett@promedica.org
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Comerota
authors.forename: Nina K
authors.initials: NK
authors.lastname: Grewal
authors.forename: Subhash
authors.initials: S
authors.lastname: Thakur
authors.forename: Zacaria
authors.initials: Z
authors.lastname: Assi
mesh_terms: D000328:Adult; D000800:Angioplasty, Balloon / Q000295:instrumentation; D000925:Anticoagulants / Q000627:therapeutic use; D002908:Chronic Disease; D003131:Combined Modality Therapy; D003251:Constriction, Pathologic; D005268:Femoral Vein / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007084:Iliac Vein / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D010690:Phlebography; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D054070:Postthrombotic Syndrome / Q000209:etiology / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D012039:Regional Blood Flow; D012501:Saphenous Vein / Q000637:transplantation; D015607:Stents; D016896:Treatment Outcome; D014647:Varicose Ulcer / Q000209:etiology / Q000628:therapy; D014654:Vascular Patency; D014656:Vascular Surgical Procedures; D020246:Venous Thrombosis / Q000150:complications / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D014945:Wound Healing
chemical_list: D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors