Short-term results of stenting external iliac vein during extravasal mechanical compression

Abstract

This article describes a clinical case of stent implantation in external iliac vein and evaluated З-month results of treatment. Female patient, 44years old, underwent surgery operation- sacrospinal hysteropexy «CYKENE», cervical plastic, front kolporrafy, kolpopereneorrafy» because of «С» prolapse 3 st., cystocele 2 st., cervical hypertrophy. During the first day after surgery the patient developed intense swelling of the left lower limb. Dopplergraphy diagnosed non occlusive thrombosis of the left external iliac vein and common femoral vein, so, anticoagulation therapy was prescribed. Conservative therapy of after-following post-operative complications was uneffective during 2,5 months, intensive swelling of the left lower limb still remained. Pelvic ultrasound and dopplerography of left leg veins primarily diagnosed «subtotal stenosis of the left external iliac vein». It was decided to make angiography of left lower limb veins. Juncture and catheterization by Seldinger of the left popliteal vein was made. The venography revealed subtotal local stenosis of the left external iliac vein. Balloon angioplasty and stenting of the left external iliac vein were executed. During the first day postoperative swelling of the left lower limb was docked. The patient was discharged from the hospital the next day after stenting in a satisfactory condition, anticoagulation therapy was canceled. The therapy included clopidogrel and acetylsalicylic acid during 1 month. After 5 and 90 days the control dopplerography signs of thrombosis of the left common femoral and external iliac veins were not identified.