Bi-planar contrast venography from a direct venous puncture is a common investigation in patients with suspected non-thrombotic iliac venous lesions (NIVLs). Some authors have proposed that intravascular ultrasound (IVUS), also via a direct venous puncture, should be used as the gold standard to identify and characterize iliac vein lesions prior to stenting. Recently, the requirement… Read More »
Traditionally the management of a deep vein thrombosis (DVT) was easy and straight forward. Patients diagnosed would receive a short course of intravenous heparin followed by oral warfarin. The warfarin would be continued for 6 months. Compression stockings were advised and prescribed in most circumstances. Within the last 10 years the management of DVT has… Read More »
Stenting venous obstruction is now standard practice in many hospitals. The commonest indication is to open-up residual lesions after thrombolysis/thombectomy for ilio-femoral DVT. However, there is an increasing trend to stent non-thrombotic iliac venous lesions (NIVL’s). These are considered to be May-Thurner syndrome in a broader sense and may be primary in nature or secondary… Read More »