Purpose: To determine the prevalence of iliac venous variations and to classify the variations using multidetector computed tomography (MDCT).
Materials And Methods: MDCT images of 2,488 patients were retrospectively reviewed. Iliac venous variations were documented and classified with regard to internal iliac vein (IIV) drainage patterns, the presence of interiliac communicating veins and inferior vena cava (IVC) anomalies associated with iliac venous variations. The variation prevalence rates were analyzed and calculated.
Results: The incidence of iliac venous variations was 20.9%, and these were classified into eight types: normal, 79.1% (type 1); high joining of the IIV to the ipsilateral external iliac vein, 8.7% (type 2); the IIV joining to the contralateral common iliac vein (CIV), 2.3% (type 3); IIVs forming a common trunk, 0.9% (type 4); communicating vein from the IIV to the contralateral CIV or IIV, 7.8% (type 5); double IVC with or without a connecting vein, 0.9% (type 6); left IVC, 0.1% (type 7); and fenestration of the CIV, 0.4% (type 8). There were subtypes which varied according to right- or left-side variation and the status of smaller connecting veins. No statistical difference in the prevalence rate was found between men and women (p = 0.365).
Conclusions: Iliac venous variations are frequently seen on MDCT and can be classified into 8 types.
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http://dx.doi.org/10.1007/s00276-014-1316-4 | DOI Listing |
Circulation
January 2025
Department of Angiology, University Hospital Zurich, University of Zurich, Switzerland.
Background: In patients with post-thrombotic syndrome (PTS), stent recanalization of iliofemoral veins or the inferior vena cava can restore venous patency and improve functional outcomes. The risk of stent thrombosis is particularly increased during the first 6 months after intervention. The ARIVA trial tested whether daily aspirin 100 mg plus rivaroxaban 20 mg is superior to rivaroxaban 20 mg alone to prevent stent thrombosis within 6 months after stent placement for PTS.
View Article and Find Full Text PDFSurg Technol Int
January 2025
Department of Psychiatry and Narcology, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.
Pelvic Venous Disorder (PEVD) and May-Thurner syndrome (MTS) represent relatively understudied vascular issues that can significantly impact patients' quality of life. This study aims to evaluate the efficacy of surgical treatment for PEVD and MTS, conduct a comparative analysis of outcomes, and determine the practical significance of different therapeutic approaches. The study was conducted from 2019 to 2022 in Moscow, Russia, encompassing two outpatient clinics.
View Article and Find Full Text PDFPurpose: To explore the anatomical features of left iliac vein (LIV) in non-thrombotic venous leg ulcers (VLUs) and to identify the impact of these anatomical features on VLUs based on computed tomography venography (CTV).
Methods: This is a retrospective, single-center study of a database (2021-2023) of 431 patients with non-thrombotic chronic venous insufficiency. According to CEAP clinical (C) classifications, cases of C6 and C2 were included for analysis as case and control groups.
Purpose: To evaluate longer term outcomes of the Zilver Vena Venous Stent in patients undergoing venous stenting.
Materials And Methods: Patients with iliofemoral obstructive venous disease and treated with venous stents were retrospectively enrolled in a physician-led real-world data collection effort. Results were analyzed by etiologies: post-thrombotic syndrome (PTS), non-thrombotic iliac vein lesion (NIVL), and iliocaval acute deep vein thrombosis (aDVT).
Radiol Case Rep
March 2025
Department of Radiology, Rafidia Surgical Hospital, Nablus, Palestine.
May-Thurner syndrome (MTS), iliac vein compression syndrome, also called Cockett syndrome, is a vascular disease caused by the compression of the left common iliac vein (LCIV) by the right common iliac artery (RCIA) against the lumbar vertebrae. This anatomical defect can lead to venous stasis especially in the left lower limb, and this increases the risk of deep venous thrombosis (DVT). Because routine screening is not standard practice, MTS frequently remains asymptomatic, and its prevalence is probably underestimated.
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