Authors: Back Kim MD & Tae An Choi, ANP-BC
Heart Vein NYC, New York, New York
A forty-four-year-old female who suffered from chronic left leg and buttock heaviness and achiness upon standing or walking, with associated leg swelling that is alleviated by leg elevation.
She has been treated with compression stocking and laser vein closure ablation therapy but with minimal relief.
Pt proceeded with venogram and subsequent examination utilizing intravascular ultrasound (IVUS), demonstrating severe degree of blockage (stenosis) in left iliac veins (common iliac vein and external iliac vein). Venogram (figure 1) showed collateral veins or reflux, indicating proximal obstruction. IVUS (figure 2) showed 73% luminal narrowing (green circle) compared to reference vessel size (blue circle).
Balloon dilation with stent deployment was successfully performed. Pt’s leg symptoms are significantly improved with returning baseline normal daily activities.
Figure 1. Venogram demonstrating reflux that indicates iliac vein compression.
Figure 2. IVUS showing 73% luminal narrowing (green circle) compared to reference vessel size (blue circle)