Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.202201621
Jornal Vascular Brasileiro
Therapeutic Challenge

Trombose venosa profunda de veia ilíaca contralateral após stent venoso posicionado na confluência ilíaco-cava: um desafio terapêutico

Deep venous thrombosis of the contralateral iliac vein after stenting of the iliocaval confluence: a therapeutic challenge

Annata Teixeira Della Costa; Igor Rafael Sincos; Lorrane Vieira Siqueira Riscado

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Resumo

O tratamento de escolha para pacientes com síndrome de compressão venosa sintomática é o implante de stent venoso. Entretanto, esse tratamento possui complicações bem documentadas e, embora rara, trombose venosa profunda contralateral é uma dessas complicações. Nosso objetivo é apresentar um caso de trombose venosa profunda da veia ilíaca contralateral como resultado do posicionamento do stent além do preconizado e o desafio terapêutico que é a recanalização da veia com reconstrução da confluência ilíaco-cava.

Palavras-chave

trombose venosa profunda, angioplastia, síndrome de May-Thurner, veia ilíaca

Abstract

The treatment of choice for patients with symptomatic venous compression syndrome is venous stenting. However, this treatment has well-documented complications and, although rare, contralateral deep venous thrombosis is one of these complications. Our objective is to present a case of deep venous thrombosis of the contralateral iliac vein resulting from placement of the stent beyond the recommended position and the therapeutic challenge is to recanalize the vein with reconstruction of the iliocaval confluence.

Keywords

deep venous thrombosis; angioplasty; May-Thurner syndrome; iliac vein

References

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Submitted date:
12/21/2022

Accepted date:
03/29/2023

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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