ILiac Vein Compression

Iliac vein compression is a condition in which “the main leg vein” (iliac vein) becomes narrowed by getting compressed by a nearby artery. The Iliac vein is “the main outflow pipe” sending blood from leg and thigh up to the heart. A backup in this vein can result in pooling and congestion of blood in your leg. This problem was originally identified on the left side (“May Thurner Syndrome”) but recent information identifies the blockage can happen on either side.

Common symptoms of Iliac Vein Compression

  • Deep vein thrombosis (“clots in veins”) and post-thrombotic syndrome
  • Leg Swelling in foot, ankle, and thigh
  • Leg pain, cramping, heaviness, tiredness, and achiness that worsen upon standing or sitting, progresses toward the end of the day.
  • Skin color change (red, brown or tanned), also called “Venous Stasis Hyperpigmentation”
  • Skin redness, itchiness, and dryness, also called “Venous Stasis Dermatitis”
  • Skin hardening like a wood (“Induration”)
  • Sores (ulcers) mostly oozing, also called “Venous Stasis Ulcer”
  • Failure of Endovenous Laser Ablation

How to diagnose Iliac Vein Compression

  • Venogram and IVUS (Intravascular Ultrasound)
  • MRI, CT or sonogram often misses a compression.

How to treat Iliac Vein Compression

  • If you have no symptoms, a treatment is not needed.
  • Compression stocking and weight loss
  • Balloon angioplasty and ILiac vein stent

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