title: Role of endovascular stenting in radiation-induced stenosis of lower extremity veins.
abstract: Radiation-induced venous stenosis is rare with a few isolated cases reported in the medical literature involving the lower limb. Management options in such cases are thus not streamlined. We describe an unusual case of iliac vein stenosis in a patient with rectal carcinoma after combined chemoradiation therapy, managed with endovascular stenting. The possible mechanisms underlying the pathogenesis of venous stricture and their treatment options have been reviewed.
authors.affiliation: Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, University of Wisconsin School of Medicine and Public Health, Milwaukee, Wisconsin.
authors.forename: Harold K
authors.initials: HK
authors.lastname: Elias
authors.affiliation: Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, University of Wisconsin School of Medicine and Public Health, Milwaukee, Wisconsin.
authors.forename: M Fuad
authors.initials: MF
authors.lastname: Jan
authors.affiliation: Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, University of Wisconsin School of Medicine and Public Health, Milwaukee, Wisconsin.
authors.forename: Suhail Q
authors.initials: SQ
authors.lastname: Allaqaband
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000628:therapy*; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D059186:Chemoradiotherapy, Adjuvant / Q000009:adverse effects*; D003251:Constriction, Pathologic; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000528:radiation effects*; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D010690:Phlebography; D011832:Radiation Injuries / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D012004:Rectal Neoplasms / Q000473:pathology / Q000628:therapy*; D015607:Stents; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014654:Vascular Patency
keywords: endovascular; intervention; stenting technique; surgery; thrombosis; varicose; venous disease