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Managing Chronic Iliac Venous Occlusions That Extend Below the Inguinal Ligament 

Managing Chronic Iliac Venous Occlusions That Extend Below the Inguinal Ligament
Chapter:
Managing Chronic Iliac Venous Occlusions That Extend Below the Inguinal Ligament
Author(s):

Roshni A. Parikh

, and David M. Williams

DOI:
10.1093/med/9780199986071.003.0034
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date: 04 December 2020

This chapter describes the management, applications, challenges, and potential complications when venous occlusions extend below the inguinal ligament. Recanalization of a chronic iliocaval occlusion in combination with anticoagulation can significantly improve a patient’s quality of life. The success of treating iliocaval venous obstruction, however, depends on good venous inflow. Without adequate venous inflow, the outflow stents will fail. Evaluation of the saphenofemoral junction, femoral vein confluence, and/or saphenous vein, recanalization of the occluded segments, and extension of the stents will improve the venous inflow. This chapter describes the steps involved in the evaluation of both venous outflow and venous inflow and the establishment of flow throughout.

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