Radiation-associated venous stenosis: Endovascular treatment options JOURNAL OF VASCULAR SURGERY Zhou, W., Bush, R. L., Lin, P. H., Lumsden, A. B. 2004; 40 (1): 179-182

Abstract

We report a case of radiation-induced venous stenosis after pelvic irradiation to treat Paget's disease of the scrotum. During therapeutic anticoagulation, significant left lower extremity swelling developed due to an iliofemoral deep venous thrombosis (DVT). After percutaneous thrombectomy and thrombolysis, a high-grade stenosis was uncovered in the left external iliac vein, which was treated with an endoluminal stent. However, ipsilateral DVT recurred 2 months later despite continued anticoagulation therapy. Repeat treatment was successful. Pelvic radiation is a potential cause of iliac vein stenosis. Pharmacomechanical thrombectomy may have a useful role in management of complex iliofemoral DVT.

View details for DOI 10.1016/j.jvs.2004.03.039

View details for Web of Science ID 000222522300030

View details for PubMedID 15218482