Current situation and trend of diagnosis and treatment of thrombotic iliac vein stenosis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHANG Jie ¹ ,  ZHANG Xicheng ²

1. Graduate School of Dalian Medical University, Dalian, Liaoning 116044, P. R. China;
2. Department of Vascular Surgery, Subei People’s Hospital, Yangzhou, Jiangsu 225002, P. R. China;

Corresponding?author：

ZHANG Xicheng, Email: vasdoc@126.com

Keywords：

deep venous thrombosis; iliac vein compression syndrome; iliac vein stenosis

DOI：

10.7507/1007-9424.201808098

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To summarize strategy of diagnosis and treatment of thrombotic iliac vein stenosis in recent years.Method The relevant literatures in recent 5 years on the current status and trend of diagnosis and treatment of the thrombotic iliac vein stenosis were reviewed.Results At present, the diagnostic methods of thrombotic iliac vein stenosis mainly included that the multi-slice spiral CT, venography, intracavitary ultrasound, magnetic resonance imaging, color Doppler ultrasound and other imaging examinations, each of which had its advantages and disadvantages. There were still no uniform criteria whether a filter should be placed, whether the stents should and how to be placed, and when to intervene in the patients with acute thrombotic iliac vein stenosis. There was no definite conclusion when and how to effectively intervene in the patients with chronic thrombotic iliac vein stenosis.Conclusions Incidence of thrombotic iliac vein stenosis is high and sequela is severe. Early diagnosis and reasonable treatment are very important. Only strictly grasping indications, combining medical technology and patient’s condition, and adopting appropriate treatment strategy, can make patients’ maximal benefit.

Citation： ZHANG Jie, ZHANG Xicheng. Current situation and trend of diagnosis and treatment of thrombotic iliac vein stenosis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(3): 369-373. doi: 10.7507/1007-9424.201808098 Copy

1.	Virchow R. Uber die erweiterung kleiner gefasse. Arch Pathol Anat, 1851, 3: 4279.
2.	Lugo-Fagundo C, Nance JW, Johnson PT, et al. May-Thurner syndrome: MDCT findings and clinical correlates. Abdom Radiol (NY), 2016, 41(10): 2026-2030.
3.	Lin OY, Lu GM. Underlying anatomy and typing diagnosis of May-Thurner syndrome and clinical significance: an observation based on CT. Spine (Phila Pa 1976), 2016, 41(21): E1284-E1291.
4.	Kalu S, Shah P, Natarajan A, et al. May-Thurner syndrome: a case report and review of the literature. Case Rep Vasc Med, 2013, 2013: 740182.
5.	May R. The cause of predominantly sinistral occurrence of thrombosis of the pelvic veins. Minerva Cardioangiol Eur, 1957, 3(4): 346-349.
6.	Narayan A, Eng J, Carmi L, et al. Iliac vein compression as risk factor for left- versus right-sided deep venous thrombosis: case-control study. Radiology, 2012, 265(3): 949-957.
7.	陳鋒, 郭慧, 朱仙花, 等. 左髂靜脈受壓與左下肢深靜脈血栓的相關性研究. 中華普通外科雜志, 2014, 29(12): 897-900.
8.	Kim D, Orron DE, Porter DH. Venographic anatomy, technique and interpretation//Kim D, Orron DE (eds). Peripheral vascular imaging and intervention. St Louis, MO: Mosby-Year Book, 1992: 269-349.
9.	Ibrahim W, Al Safran Z, Hasan H, et al. Endovascular management of May-Thurner syndrome. Ann Vasc Dis, 2012, 5(2): 217-221.
10.	周瀚, 梁魯, 姚碧輝, 等. 下肢深靜脈血栓穩定性的研究現狀及展望. 中國普外基礎與臨床雜志, 2017, 24(4): 525-528.
11.	王利新, 符偉國. 腔內超聲在髂靜脈受壓綜合征腔內治療中的應用價值. 血管與腔內血管外科雜志, 2015, 1(1): 16-19.
12.	Canales JF, Krajcer Z. Intravascular ultrasound guidance in treating May-Thurner syndrome. Tex Heart Inst J, 2010, 37(4): 496-497.
13.	Birn J, Vedantham S. May-Thurner syndrome and other obstructive iliac vein lesions: meaning, myth, and mystery. Vasc Med, 2015, 20(1): 74-83.
14.	李高陽, 張丹. 左側髂總靜脈與下腔靜脈延長線夾角的大小與左側髂總靜脈壓迫的相關性研究. 臨床放射學雜志, 2018, 37(3): 472-475.
15.	沈莉, 顧建平, 殷信道, 等. 202 例無下肢靜脈疾病者左髂總靜脈受壓的 MSCTA 研究. 醫學影像學雜志, 2013, 23(1): 130-134.
16.	Rabinovich A, Ducruet T, Kahn SR, et al. Development of a clinical prediction model for the postthrombotic syndrome in a prospective cohort of patients with proximal deep vein thrombosis. J Thromb Haemost, 2018, 16(2): 262-270.
17.	張希全, 王義平, 朱偉, 等. 微創腔內治療急性下肢深靜脈血栓和髂靜脈嚴重狹窄及閉塞. 中國普外基礎與臨床雜志, 2013, 20(4): 412-417.
18.	Bozkaya H, Cinar C, Ertugay S, et al. Endovascular treatment of iliac vein compression (May-Thurner) syndrome: angioplasty and stenting with or without manual aspiration thrombectomy and catheter-directed thrombolysis. Ann Vasc Dis, 2015, 8(1): 21-28.
19.	宋燕, 方超, 付一群, 等. Cockett 綜合征合并急性期血栓的治療療效以及對策. 中國現代醫學雜志, 2017, 27(19): 83-86.
20.	Vedantham S, Thorpe PE, Cardella JF, et al. Quality improvement guidelines for the treatment of lower extremity deep vein thrombosis with use of endovascular thrombus removal. J Vasc Interv Radiol, 2006, 17(3): 435-447.
21.	Avgerinos ED, Hager ES, Jeyabalan G, et al. Inferior vena cava filter placement during thrombolysis for acute iliofemoral deep venous thrombosis. J Vasc Surg Venous Lymphat Disord, 2014, 2(3): 274-281.
22.	中華醫學會外科學分會血管外科學組. 深靜脈血栓形成的診斷和治療指南 (第三版). 中華普通外科雜志, 2017, 32(9): 807-812.
23.	馮琦琛, 李選, 李天潤, 等. 合并 Cockett 綜合征的急性下肢深靜脈血栓形成患者髂靜脈擴張成形時機對導管直接溶栓持續時間的影響. 中國微創外科雜志, 2013, 13(2): 116-118, 126.
24.	印于, 金泳海, 樊寶瑞, 等. 機械性血栓清除術聯合同期髂靜脈支架植入治療合并左髂靜脈受壓綜合征的急性下肢深靜脈血栓形成. 中華介入放射學電子雜志, 2018, 6(1): 46-50.
25.	Mickley V, Schwagierek R, Rilinger N, et al. Left iliac venous thrombosis caused by venous spur: treatment with thrombectomy and stent implantation. J Vasc Surg, 1998, 28(3): 492-497.
26.	Oguzkurt L, Tercan F, Ozkan U, et al. Iliac vein compression syndrome: outcome of endovascular treatment with long-term follow-up. Eur J Radiol, 2008, 68(3): 487-492.
27.	Ming ZB, Li WD, Yuan RF, et al. Effectiveness of catheter directed thrombolysis and stent implantation on iliofemoral vein thrombosis caused by iliac vein compression. J Thromb Thrombolysis, 2017, 44(2): 254-260.
28.	戈小虎, 唐加熱克, 朱兵, 等. 髂靜脈壓迫綜合征并下肢深靜脈血栓的腔內治療. 新疆醫學, 2017, 47(1): 1-4, 19.
29.	Mahnken AH, Thomson K, de Haan M, et al. CIRSE standards of practice guidelines on iliocaval stenting. Cardiovasc Intervent Radiol, 2014, 37(4): 889-897.
30.	李文東, 李曉強. 髂靜脈支架進入下腔靜脈長度的探討. 中國血管外科雜志 (電子版), 2017, 9(4): 241-243.
31.	Saha P, Black S, Breen K, et al. Contemporary management of acute and chronic deep venous thrombosis. Br Med Bull, 2016, 117(1): 107-120.
32.	Wang WD, Zhao Y, CHenYX. Stenting for chronic obstructive venous disease: A current comprehensive meta-analysis and systematic review. Phlebology, 2016, 31(6): 376-389.
33.	Vogel D, Comerota AJ, Al-Jabouri M, et al. Common femoral endovenectomy with iliocaval endoluminal recanalization improves symptoms and quality of life in patients with postthrombotic iliofemoral obstruction. J Vasc Surg, 2012, 55(1): 129-135.
34.	Cho WP, Cho S, Cho MJ, et al. Femoral endovenectomy with iliac stenting for chronic iliofemoral venous occlusion. Vasc Specialist Int, 2017, 33(4): 166-169.
35.	de Wolf MA, Jalaie H, van Laanen JH, et al. Endophlebectomy of the common femoral vein and arteriovenous fistula creation as adjuncts to venous stenting for post-thrombotic syndrome. Br J Surg, 2017, 104(6): 718-725.

1. Virchow R. Uber die erweiterung kleiner gefasse. Arch Pathol Anat, 1851, 3: 4279.
2. Lugo-Fagundo C, Nance JW, Johnson PT, et al. May-Thurner syndrome: MDCT findings and clinical correlates. Abdom Radiol (NY), 2016, 41(10): 2026-2030.
3. Lin OY, Lu GM. Underlying anatomy and typing diagnosis of May-Thurner syndrome and clinical significance: an observation based on CT. Spine (Phila Pa 1976), 2016, 41(21): E1284-E1291.
4. Kalu S, Shah P, Natarajan A, et al. May-Thurner syndrome: a case report and review of the literature. Case Rep Vasc Med, 2013, 2013: 740182.
5. May R. The cause of predominantly sinistral occurrence of thrombosis of the pelvic veins. Minerva Cardioangiol Eur, 1957, 3(4): 346-349.
6. Narayan A, Eng J, Carmi L, et al. Iliac vein compression as risk factor for left- versus right-sided deep venous thrombosis: case-control study. Radiology, 2012, 265(3): 949-957.
7. 陳鋒, 郭慧, 朱仙花, 等. 左髂靜脈受壓與左下肢深靜脈血栓的相關性研究. 中華普通外科雜志, 2014, 29(12): 897-900.
8. Kim D, Orron DE, Porter DH. Venographic anatomy, technique and interpretation//Kim D, Orron DE (eds). Peripheral vascular imaging and intervention. St Louis, MO: Mosby-Year Book, 1992: 269-349.
9. Ibrahim W, Al Safran Z, Hasan H, et al. Endovascular management of May-Thurner syndrome. Ann Vasc Dis, 2012, 5(2): 217-221.
10. 周瀚, 梁魯, 姚碧輝, 等. 下肢深靜脈血栓穩定性的研究現狀及展望. 中國普外基礎與臨床雜志, 2017, 24(4): 525-528.
11. 王利新, 符偉國. 腔內超聲在髂靜脈受壓綜合征腔內治療中的應用價值. 血管與腔內血管外科雜志, 2015, 1(1): 16-19.
12. Canales JF, Krajcer Z. Intravascular ultrasound guidance in treating May-Thurner syndrome. Tex Heart Inst J, 2010, 37(4): 496-497.
13. Birn J, Vedantham S. May-Thurner syndrome and other obstructive iliac vein lesions: meaning, myth, and mystery. Vasc Med, 2015, 20(1): 74-83.
14. 李高陽, 張丹. 左側髂總靜脈與下腔靜脈延長線夾角的大小與左側髂總靜脈壓迫的相關性研究. 臨床放射學雜志, 2018, 37(3): 472-475.
15. 沈莉, 顧建平, 殷信道, 等. 202 例無下肢靜脈疾病者左髂總靜脈受壓的 MSCTA 研究. 醫學影像學雜志, 2013, 23(1): 130-134.
16. Rabinovich A, Ducruet T, Kahn SR, et al. Development of a clinical prediction model for the postthrombotic syndrome in a prospective cohort of patients with proximal deep vein thrombosis. J Thromb Haemost, 2018, 16(2): 262-270.
17. 張希全, 王義平, 朱偉, 等. 微創腔內治療急性下肢深靜脈血栓和髂靜脈嚴重狹窄及閉塞. 中國普外基礎與臨床雜志, 2013, 20(4): 412-417.
18. Bozkaya H, Cinar C, Ertugay S, et al. Endovascular treatment of iliac vein compression (May-Thurner) syndrome: angioplasty and stenting with or without manual aspiration thrombectomy and catheter-directed thrombolysis. Ann Vasc Dis, 2015, 8(1): 21-28.
19. 宋燕, 方超, 付一群, 等. Cockett 綜合征合并急性期血栓的治療療效以及對策. 中國現代醫學雜志, 2017, 27(19): 83-86.
20. Vedantham S, Thorpe PE, Cardella JF, et al. Quality improvement guidelines for the treatment of lower extremity deep vein thrombosis with use of endovascular thrombus removal. J Vasc Interv Radiol, 2006, 17(3): 435-447.
21. Avgerinos ED, Hager ES, Jeyabalan G, et al. Inferior vena cava filter placement during thrombolysis for acute iliofemoral deep venous thrombosis. J Vasc Surg Venous Lymphat Disord, 2014, 2(3): 274-281.
22. 中華醫學會外科學分會血管外科學組. 深靜脈血栓形成的診斷和治療指南 (第三版). 中華普通外科雜志, 2017, 32(9): 807-812.
23. 馮琦琛, 李選, 李天潤, 等. 合并 Cockett 綜合征的急性下肢深靜脈血栓形成患者髂靜脈擴張成形時機對導管直接溶栓持續時間的影響. 中國微創外科雜志, 2013, 13(2): 116-118, 126.
24. 印于, 金泳海, 樊寶瑞, 等. 機械性血栓清除術聯合同期髂靜脈支架植入治療合并左髂靜脈受壓綜合征的急性下肢深靜脈血栓形成. 中華介入放射學電子雜志, 2018, 6(1): 46-50.
25. Mickley V, Schwagierek R, Rilinger N, et al. Left iliac venous thrombosis caused by venous spur: treatment with thrombectomy and stent implantation. J Vasc Surg, 1998, 28(3): 492-497.
26. Oguzkurt L, Tercan F, Ozkan U, et al. Iliac vein compression syndrome: outcome of endovascular treatment with long-term follow-up. Eur J Radiol, 2008, 68(3): 487-492.
27. Ming ZB, Li WD, Yuan RF, et al. Effectiveness of catheter directed thrombolysis and stent implantation on iliofemoral vein thrombosis caused by iliac vein compression. J Thromb Thrombolysis, 2017, 44(2): 254-260.
28. 戈小虎, 唐加熱克, 朱兵, 等. 髂靜脈壓迫綜合征并下肢深靜脈血栓的腔內治療. 新疆醫學, 2017, 47(1): 1-4, 19.
29. Mahnken AH, Thomson K, de Haan M, et al. CIRSE standards of practice guidelines on iliocaval stenting. Cardiovasc Intervent Radiol, 2014, 37(4): 889-897.
30. 李文東, 李曉強. 髂靜脈支架進入下腔靜脈長度的探討. 中國血管外科雜志 (電子版), 2017, 9(4): 241-243.
31. Saha P, Black S, Breen K, et al. Contemporary management of acute and chronic deep venous thrombosis. Br Med Bull, 2016, 117(1): 107-120.
32. Wang WD, Zhao Y, CHenYX. Stenting for chronic obstructive venous disease: A current comprehensive meta-analysis and systematic review. Phlebology, 2016, 31(6): 376-389.
33. Vogel D, Comerota AJ, Al-Jabouri M, et al. Common femoral endovenectomy with iliocaval endoluminal recanalization improves symptoms and quality of life in patients with postthrombotic iliofemoral obstruction. J Vasc Surg, 2012, 55(1): 129-135.
34. Cho WP, Cho S, Cho MJ, et al. Femoral endovenectomy with iliac stenting for chronic iliofemoral venous occlusion. Vasc Specialist Int, 2017, 33(4): 166-169.
35. de Wolf MA, Jalaie H, van Laanen JH, et al. Endophlebectomy of the common femoral vein and arteriovenous fistula creation as adjuncts to venous stenting for post-thrombotic syndrome. Br J Surg, 2017, 104(6): 718-725.

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Current situation and trend of diagnosis and treatment of thrombotic iliac vein stenosis

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