Diagnosis and treatment of iliac vein stenosis

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Abstract

Stenosis of the iliac veins is common in patients with chronic venous insufficiency. The article describes the methods for the diagnosis and treatment of iliac vein stenosis. The causes of iliac vein stenosis include extravasal compression or the consequences of ileofemoral thrombosis. Stenosis of the iliac veins exists in 1/4 of the entire adult population, but clinical manifestations do not occur in all patients. Stenosis of the iliac veins should be considered in case of an unknown edema, more often in the left lower extremity, since venous duplex ultrasound of lower extremities is not sensitive and specific enough when examining the veins above the inguinal ligament. The most accurate diagnostic method is intravascular ultrasound (IVUS) but the appeared computed tomography angiography (CTA) and magnetic resonance angiography (MRA) with high-quality images have become a good replacement for IVUS. The main method of treatment of iliac vein stenosis, besides stenting, isindispensable drug therapy consisting of antithrombotic and phlebotonic drugs.

About the authors

Daniel G. Gitelzon

National Research Center for Hematology

Author for correspondence.
Email: danielgitelson@gmail.com
ORCID iD: 0000-0002-3957-3688

MD

Russian Federation, Moscow

Alexander G. Faybushevich

Peoples’ Friendship University of Russia

Email: faibushevich.a@gmail.com
ORCID iD: 0000-0001-7998-3051

MD, PhD

Russian Federation, Moscow

Daniel A. Maximkin

Peoples’ Friendship University of Russia

Email: danmed@bk.ru
ORCID iD: 0000-0002-3593-436X

MD, PhD, Associate professor

Russian Federation, Moscow

Galina I. Veretnik

Peoples’ Friendship University of Russia

Email: veretnik-m@mail.ru
ORCID iD: 0000-0001-9179-8174

MD, PhD

Russian Federation, Moscow

Vladislav Yu. Baranovich

Peoples’ Friendship University of Russia

Email: vubara@yandex.ru
ORCID iD: 0000-0002-0932-6061

MD, PhD, Associate professor

Russian Federation, Moscow

Ekaterina А. Gitelzon

Peoples’ Friendship University of Russia

Email: altnlu88@mail.ru
ORCID iD: 0000-0003-3871-5530

MD

Russian Federation, Moscow

Kirill R. Sabirov

National Research Center for Hematology

Email: dr.sabirovkr@gmail.com
ORCID iD: 0000-0003-3677-0480

MD

Russian Federation, Moscow

Alexander E. Vasilyev

National Research Center for Hematology

Email: vasilisa_oven@mail.ru
ORCID iD: 0000-0001-6550-1939

MD, PhD

Russian Federation, Moscow

Karen I. Danishian

National Research Center for Hematology

Email: ntanisian@gmail.com
ORCID iD: 0000-0003-3662-9751

MD, PhD

Russian Federation, Moscow

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Copyright (c) 2020 Gitelzon D.G., Faybushevich A.G., Maximkin D.A., Veretnik G.I., Baranovich V.Y., Gitelzon E.А., Sabirov K.R., Vasilyev A.E., Danishian K.I.

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