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Combined endovascular and surgical therapy for chronic pelvic venous closure accompanied by massive prepubic and limbs varices


Authors: MUDr. David Janák, Ph.D. 1;  T. Grus 1;  S. Heller 2;  J. Kudlička 3;  V. Rohn 1
Authors‘ workplace: II. chirurgická klinika kardiovaskulární chirurgie, 1. LF UK v Praze a VFN v Praze, přednosta: prof. MUDr. J. Lindner, CSc. 1;  II. interní klinika kardiologie a angiologie, 1. LF UK v Praze a VFN v Praze, přednosta: prof. MUDr. A. Linhart, DrSc. 2;  III. interní klinika endokrinologie a metabolismu, 1. LF UK v Praze, přednosta: prof. MUDr. Š. Svačina, DrSc., MBA 3
Published in: Rozhl. Chir., 2015, roč. 94, č. 8, s. 337-339.
Category: Case Report

Overview

We report a successful surgical and endovascular procedure in a patient with increasing chronic varicose veins resulting from a chronic post-traumatic closure of the left pelvic vein. The endovascular intervention involves an effective and fast part of the procedure dealing with the primary cause of the patient’s pathology with subsequent surgical treatment, which radically eliminates the secondary developing pathology of massive prepubic and convoluted varicose veins in limbs.

Key words:
endovascular therapy − varicose veins − phlebography


Sources

1. Neglén P, Raju S. Intravascular ultrasound scan evalution of the obstructed vein. J Vasc Surg 2002;35:694−700.

2. Neglén P, Hollis KC, Olive J, et al. Stenting of the venous outflow in chronic venous disease: long- term stent-related outcome, clinical, and hemodynamic result. J Vasc Surg 2007; 46:979−90.

3. Oderich GSC, Treiman GS, Schneider P, et al. Stent placement for treatment of central and peripheral venous obstruction: long-term multiinstitutional experience. J Vasc Surg 2000; 32:760−9.

4. Hartung O, Grisoli D, Boufi M, et al. Endovascular stenting in the treatment of pelvic vein congestion caused by nutcracker syndrome: lessons learned from the first five cases. J BASF Surg 2005;42:275−80.

5. Neglen p. Chronic Venous Obstruction: Diagnostic Considerations and Therapeutic Role of Percutaneous Iliac Stenting. Vascular 2007;15:273−80. 

6. Kariya S, Tanigawa N, Kojima H, et al. Primary patency with cutting and convential ballon angioplasty for different types of hemodialysis access stenosis. RSNA 2007;243:578−87.

Labels
Surgery Orthopaedics Trauma surgery
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