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The surgical treatment of ilio-femoral venous obstruction.
Ann Ital Chir. 2004 Sep-Oct; 75(5):587-91.AI

Abstract

METHODS

A series of 9 patients of a mean age of 48 years, operated on for compression of the ilio-femoral venous axis is reported. The cause of obstruction was external compression in 3 cases, a retroperitoneal sarcoma in 1 case, and an infrarenal aortic aneurysm in 2. Two patients presented with a Cockett's syndrome, 3 with a chronic ilio-femoral thrombosis, and one with a post-traumatic segmentary stenosis. Treatment consisted in a resection/Dacron grafting of 2 infrarenal aortic aneurysms, one femoro-caval bypass graft, 2 transpositions of the right common iliac artery in the left hypogastric artery for Cockett's syndrome, 3 Palma's operations for chronic thrombosis, and one internal jugular vein interposition for segmentary stenosis.

RESULTS

There were no postoperative deaths and no early thromboses of venous reconstructions performed. All the patients were relieved of symptoms during the follow-up period, whose mean length was 38 months.

CONCLUSION

The cause of venous obstruction and the presence of symptoms which are resistant to medical treatment are the main indications to ilio-femoral venous revascularization. The choice of the optimal treatment in each single case yields satisfactory results.

Authors+Show Affiliations

Illuminati G
Università degli Studi di Roma La Sapienza, Dipartimento di Scienze Chirurgiche e Tecnologie Mediche Applicate, U.O. Chirurgia Generale e Toracica - IV Clinica Chirurgica, Azienda Policlinico Umberto I. giulio.illuminati@uniroma1.it
Caliò FG
No affiliation info available
D'Urso A
No affiliation info available
Mancini P
No affiliation info available
Papaspyropoulos V
No affiliation info available
Ceccanei G
No affiliation info available
Lorusso R
No affiliation info available
Vietri F
No affiliation info available

MeSH

AdultAgedFemaleFemoral VeinHumansIliac VeinMaleMiddle AgedVascular Diseases

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15960350

Citation

Illuminati, G, et al. "The Surgical Treatment of Ilio-femoral Venous Obstruction." Annali Italiani Di Chirurgia, vol. 75, no. 5, 2004, pp. 587-91.
Illuminati G, Caliò FG, D'Urso A, et al. The surgical treatment of ilio-femoral venous obstruction. Ann Ital Chir. 2004;75(5):587-91.
Illuminati, G., Caliò, F. G., D'Urso, A., Mancini, P., Papaspyropoulos, V., Ceccanei, G., Lorusso, R., & Vietri, F. (2004). The surgical treatment of ilio-femoral venous obstruction. Annali Italiani Di Chirurgia, 75(5), 587-91.
Illuminati G, et al. The Surgical Treatment of Ilio-femoral Venous Obstruction. Ann Ital Chir. 2004 Sep-Oct;75(5):587-91. PubMed PMID: 15960350.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The surgical treatment of ilio-femoral venous obstruction. AU - Illuminati,G, AU - Caliò,F G, AU - D'Urso,A, AU - Mancini,P, AU - Papaspyropoulos,V, AU - Ceccanei,G, AU - Lorusso,R, AU - Vietri,F, PY - 2005/6/18/pubmed PY - 2005/9/15/medline PY - 2005/6/18/entrez SP - 587 EP - 91 JF - Annali italiani di chirurgia JO - Ann Ital Chir VL - 75 IS - 5 N2 - METHODS: A series of 9 patients of a mean age of 48 years, operated on for compression of the ilio-femoral venous axis is reported. The cause of obstruction was external compression in 3 cases, a retroperitoneal sarcoma in 1 case, and an infrarenal aortic aneurysm in 2. Two patients presented with a Cockett's syndrome, 3 with a chronic ilio-femoral thrombosis, and one with a post-traumatic segmentary stenosis. Treatment consisted in a resection/Dacron grafting of 2 infrarenal aortic aneurysms, one femoro-caval bypass graft, 2 transpositions of the right common iliac artery in the left hypogastric artery for Cockett's syndrome, 3 Palma's operations for chronic thrombosis, and one internal jugular vein interposition for segmentary stenosis. RESULTS: There were no postoperative deaths and no early thromboses of venous reconstructions performed. All the patients were relieved of symptoms during the follow-up period, whose mean length was 38 months. CONCLUSION: The cause of venous obstruction and the presence of symptoms which are resistant to medical treatment are the main indications to ilio-femoral venous revascularization. The choice of the optimal treatment in each single case yields satisfactory results. SN - 0003-469X UR - https://www.unboundmedicine.com/medline/citation/15960350/The_surgical_treatment_of_ilio_femoral_venous_obstruction_ DB - PRIME DP - Unbound Medicine ER -