Singla A, Hurtado CM and Attaran R*
Department of Medicine, Section of Cardiology, Yale University, USAFulltext PDF
Chronic Venous Insufficiency is caused by ambulatory venous hypertension of the lower extremities due to vein reflux, venous obstruction, or both. Venous outflow obstruction may play a role in patients with chronic venous ulceration who fail to improve despite conventional modalities of treatment including wound care and compression therapy. Modern imaging techniques, particularly intravascular ultrasound and percutaneous venous stenting using venography provide the ability to treat the obstructive component of the disease. We here describe an interesting case of a seventy one year-old female with chronic kidney disease stage 5 who underwent bilateral iliac vein stenting for severe obstruction for symptoms of non-healing left medial malleolus ulcer utilizing intravascular ultrasound and no contrast.
Singla A, Hurtado CM, Attaran R. Bilateral Iliac Vein Stenting without Contrast in a Patient with Venous Ulcer.Clin Surg. 2016; 1: 1033.