Radiation-associated venous stenosis: Endovascular treatment options

Wei Zhou, Ruth L. Bush, Peter H. Lin, Alan B. Lumsden

Research output: Contribution to journalArticle

23 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)179-182
Number of pages4
JournalJournal of Vascular Surgery
Volume40
Issue number1
DOIs
StatePublished - Jul 2004

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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