Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.190134
Jornal Vascular Brasileiro
Review Article

O caminho das pedras no diagnóstico e tratamento da síndrome obstrutiva ilíaca venosa crônica

Best practices in diagnosis and treatment of chronic iliac vein obstruction

Fabio Henrique Rossi; Thiago Osawa Rodrigues; Nilo Mitsuru Izukawa; Antônio Massamitsu Kambara

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Resumo

Resumo: A obstrução venosa ilíaca ocorre em 20% a 30% da população. Nos portadores de insuficiência venosa crônica grave, essa prevalência é ainda maior, podendo chegar a 50% a 90% dos pacientes, situação em que essa obstrução é investigada pelo ultrassom intravascular. Métodos diagnósticos menos invasivos, como o Doppler vascular, ou mesmo invasivos, como a flebografia, podem falhar em seu diagnóstico. O tratamento endovascular dessas obstruções tem se demonstrado eficaz, seguro e associado a excelente resultado clínico e de perviedade, desde que princípios anatômicos e técnicos fundamentais sejam considerados e aplicados.

Palavras-chave

síndrome de May-Thurner, síndrome de Cockett, veia ilíaca, trombose venosa, angioplastia, estenose, stent

Abstract

Abstract: Iliac vein obstruction occurs in 20-30% of the general population. In patients with severe chronic venous insufficiency, 
this prevalence can be even higher, reaching 50-90% when the obstruction is investigated using intravascular 
ultrasound. Less invasive methods, such as venous Duplex Scanning, and even invasive ones such as venography may 
fail to diagnose the condition. Endovascular treatment of these obstructions is effective, safe, and associated with 
excellent clinical outcomes and stent patency rates, provided that fundamental anatomical and technical principles 
are considered and applied.

Keywords

May-Thurner Syndrome; Cockett Syndrome; iliac vein; venous thrombosis; angioplasty; stenosis, stent

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Submitted date:
12/05/2019

Accepted date:
05/15/2020

5f5bc8930e88252319cdcc43 jvb Articles

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