Surgical femorocaval bypass for recalcitrant iliofemoral venous occlusion to endovascular treatment

Matthew K. Adams, Javier E. Anaya-Ayala, Nyla Ismail, Eric K. Peden

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Patients with chronic occlusion of iliac veins may present with symptoms ranging from mild discomfort to severe disability, including limb swelling, venous claudication, and ulceration. Endovascular treatment has emerged as first line of interventional therapy. Surgical venous-venous bypasses for the management of these patients in the era of endovascular therapy are rarely performed. These procedures are reserved only for patients with severe symptoms and long occlusive lesions that have failed previous endovascular interventions. We present a clinical scenario involving the use of femorocaval bypass to treat an iliofemoral occlusion recalcitrant to stenting, manifesting with severe lower extremity swelling and venous claudication. The surgical bypass resulted in significant improvement in the patient's clinical status.

Original languageEnglish (US)
Pages (from-to)578-581
Number of pages4
JournalVascular and Endovascular Surgery
Volume46
Issue number7
DOIs
StatePublished - Oct 1 2012

Keywords

  • deep venous thrombosis
  • femorocaval bypass
  • postthrombotic syndrome

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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