Radiation-associated venous stenosis: Endovascular treatment options Academic Article uri icon

Overview

MeSH Major

  • Prosthesis Implantation
  • Radiation Injuries
  • Vascular Diseases

abstract

  • We report a case of radiation-induced venous stenosis after pelvic irradiation to treat Paget's disease of the scrotum. During therapeutic anticoagulation, significant left lower extremity swelling developed due to an iliofemoral deep venous thrombosis (DVT). After percutaneous thrombectomy and thrombolysis, a high-grade stenosis was uncovered in the left external iliac vein, which was treated with an endoluminal stent. However, ipsilateral DVT recurred 2 months later despite continued anticoagulation therapy. Repeat treatment was successful. Pelvic radiation is a potential cause of iliac vein stenosis. Pharmacomechanical thrombectomy may have a useful role in management of complex iliofemoral DVT.

publication date

  • July 2004

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1016/j.jvs.2004.03.039

PubMed ID

  • 15218482

Additional Document Info

start page

  • 179

end page

  • 82

volume

  • 40

number

  • 1