XXXX : case report and review of the literature involving modern endovascular therapy.

@entity1 @entity4 @entity1150 @entity1228 @entity158 @entity432
@entity1228 is a rare clinical entity involving @entity432 . Obstruction occurs secondary to compression of the left common iliac vein between the right common iliac artery and the underlying vertebral body. Current management largely involves endovascular therapy. A review was conducted of six studies containing at least five @entity1 with @entity1228 treated by endovascular therapy. We compiled data on 113 @entity1 , analyzing @entity1 demographics, treatment details, and outcome. An 18-year-old female presented 1 week after the onset of left lower extremity @entity158 and @entity4 . Duplex ultrasonography revealed extensive left-sided @entity1150 ( @entity1150 ). Thrombolysis followed by iliac vein stent placement restored patency to the venous system, with subsequent resolution of symptoms. Review of 113 @entity1 revealed that the majority were females (72%) presenting with @entity1150 (77%), most of which was acute in onset (73%). Therapy consisted of catheter-directed thrombolysis and subsequent stent placement in the majority of @entity1 , resulting in a mean technical success of 95% and a mean 1-year patency of 96%. Endovascular therapy is the current mainstay of treatment for @entity1228 . Review of the current literature supports treatment via catheter-directed thrombolysis followed by stent placement with good early results.
