Endovenous bypass is an option in symptomatic patients with unsalvageable iliac vein stents
Stent occlusion after stenting for chronic iliofemoral venous disease has an incidence of around 3% to 12% in the literature. The reasons for such occlusion vary, with patient and stent-related factors playing a role. One stent-related issue leading to stent occlusion is the use of undersized stents...
Saved in:
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
|
| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S246842872500067X |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Stent occlusion after stenting for chronic iliofemoral venous disease has an incidence of around 3% to 12% in the literature. The reasons for such occlusion vary, with patient and stent-related factors playing a role. One stent-related issue leading to stent occlusion is the use of undersized stents. Although undersized nitinol stents can be fractured and relined, this is not an option with a woven stent (eg, Wallstent). With an undersized, occluded woven stent, an option would be to bypass the occluded stent. This case report outlines the author’s experience in such a setting where a patient presented with an undersized, occluded iliofemoral venous stent with severe quality-of-life impairing symptoms, and an endovenous bypass was created around the occluded stent column using Wallstent-Z stent combination. Nine months on, the patient remains significantly better with a patent stent. |
|---|---|
| ISSN: | 2468-4287 |