A Novel Approach to a Patient with both Aortoiliac and Venous Occlusive Disease

Ann Vasc Surg. 2021 Apr:72:668.e5-668.e8. doi: 10.1016/j.avsg.2020.10.043. Epub 2021 Jan 15.

Abstract

Radiation-induced arteritis is a well-recognized complication of radiotherapy; however, radiation-induced venous stenosis is very rare (Zhou W, Bush RL, Lin PH, et al. Radiation-associated venous stenosis: endovascular treatment options. J Vasc Surg 2004;40:179-182). We describe a case of mixed aortoiliac arterial occlusive disease and iliac venous outflow obstruction secondary to radiation-induced vascular disease. Several endovascular procedures were undertaken to treat aortoiliac occlusive disease, which was followed by stenting for venous occlusive disease.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon* / instrumentation
  • Aortic Diseases / diagnostic imaging
  • Aortic Diseases / etiology
  • Aortic Diseases / surgery*
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Blood Vessel Prosthesis Implantation* / instrumentation
  • Chemoradiotherapy / adverse effects
  • Constriction, Pathologic
  • Endovascular Procedures* / adverse effects
  • Endovascular Procedures* / instrumentation
  • Humans
  • Iliac Artery / diagnostic imaging
  • Iliac Artery / surgery*
  • Iliac Vein* / diagnostic imaging
  • Male
  • May-Thurner Syndrome / diagnostic imaging
  • May-Thurner Syndrome / etiology
  • May-Thurner Syndrome / therapy*
  • Middle Aged
  • Peripheral Arterial Disease / diagnostic imaging
  • Peripheral Arterial Disease / etiology
  • Peripheral Arterial Disease / surgery*
  • Radiation Injuries / diagnostic imaging
  • Radiation Injuries / etiology
  • Radiation Injuries / surgery*
  • Risk Factors
  • Stents
  • Treatment Outcome