The
iliofemoral approach with osteotomy of the ASIS allowed us to have an adequate exposure of the lesion and complete excision.
Recently, he treated 11 pregnant women (10 with an
iliofemoral thrombosis and 1 with the clot in her supe-rior vena cava).
The mechanism by which lung cancer metastasises to distal peripheries is thought to be via extension through the valves of the vertebral venous system, to lumbar spinal and
iliofemoral veins in which incompetent valves allow distal passage of emboli, aided by gravity (3).
Guidance is provided for identifying and treating people with massive and submassive pulmonary embolism (dangerous blockage in veins in the lungs),
iliofemoral deep vein thrombosis (blockage in the main vein of the pelvis and leg), and chronic thromboembolic pulmonary hypertension (serious high blood pressure in the lungs caused by blood clots).
In 2009, the patient was hospitalized in the intensive care unit because of decompensation of his chronic obstructive pulmonary disease, profound
iliofemoral venous thrombosis, right pneumothorax, and lung carcinoma.
When acute
iliofemoral DVT affects physically active patients with a projected life expectancy of greater than 5 years, consideration should be given to a strategy of thrombus removal.
Stevens et al note that
iliofemoral, iliohypogastric and genitofemoral nerves variably innervate the skin of the lateral thigh.
Thrombolysis has been advocated as an adjunct to anticoagulant treatment for
iliofemoral DVT by certain medical societies because the procedure is very effective at reducing postthrombotic syndrome.
Venous stenting is a common endovascular therapy performed by interventional radiologists for various venous territories including axillary vein thrombosis (Paget-Schrotter syndrome),
iliofemoral stenosis (May-Thumer syndrome), arteriovenous fistula anastomosis stenosis, and superior vena cava (SVC) syndrome.
The ten contributions in the 2006 edition describe endovascular aneurysm repair trials for abdominal aortic aneurysms, the role of TASC classification in managing patients, treatment options for
iliofemoral vein thrombosis, and management of renal artery stenosis.
30,31) One study found that although factor V Leiden was associated with an increased incidence of deep vein thrombosis overall, the incidence of
iliofemoral deep vein thrombosis was actually significantly decreased.
Contiguous multidetector CT venography, with corresponding multiplanar reformations, can be performed to provide detailed information in select patients (eg, those with
iliofemoral DVT) or in patients with complex known or suspected venous pathology (eg, in chronic venous insufficiency, where the vascular surgeon is deciding what therapy, if any, is possible).
