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REVIEW  LATEST FRONTIERS OF HEMODYNAMICS, IMAGING AND TREATMENT OF OBSTRUCTIVE VENOUS DISEASE 

Italian Journal of Vascular and Endovascular Surgery 2018 September;25(3):210-8

DOI: 10.23736/S1824-4777.18.01348-7

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Secondary occlusive disease of the great veins

Arjun JAYARAJ 1, Peter GLOVICZKI 2

1 The RANE Center for Venous and Lymphatic Diseases, St. Dominic Hospital, Jackson, MS, USA; 2 Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN, USA


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Secondary venous obstructions of the femoro-ilio-caval system can arise from a variety of etiologies including post-thrombotic syndrome, both benign and malignant tumors, retroperitoneal fibrosis, and blunt, penetrating or iatrogenic trauma. Patients with occlusive disease of the femoro-ilio-caval segment present with symptoms/signs determined by extent of compensation by collateral network. The clinical presentation may include orthostatic pain, lower extremity venous claudication, varicosity, swelling, skin changes (hyperpigmentation, eczema, dermatitis, lipodermatosclerosis) and ulceration(s) typically in the “gaiter” area. This article will focus on the treatments currently available and on the major adverse events and local complications that can occur.


KEY WORDS: Vascular diseases - Therapeutics - Surgery - Complications

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