LEV 1. Endovenectomy of the Common Femoral Vein as Last Option in Severe Post-thrombotic Syndrome

The common femoral vein (CFV) and iliac veins compose the common channel for venous drainage of the lower extremity. Occlusive venous thrombosis of the CFV and iliac veins is associated with severe post-thrombotic syndrome and in some cases with nonhealing vein ulcers. After percutaneous intervention, relative obstruction of the CFV can persist, leading to incomplete drainage of the femoral and profunda femoris venous systems, thereby mitigating the benefit of iliac vein recanalization and risking rethrombosis; associated restenosis intrastent could occur, resulting in a great challenge for endovascular management.

Source: Journal of Vascular Surgery - October 21, 2019 Category: Surgery Authors: Nelson Encarnacion, Ignacio Escotto Source Type: research