Role of endovascular stenting in radiation-induced stenosis of lower extremity veins

Catheter Cardiovasc Interv. 2015 Aug;86(2):312-5. doi: 10.1002/ccd.25671. Epub 2015 Mar 24.

Abstract

Radiation-induced venous stenosis is rare with a few isolated cases reported in the medical literature involving the lower limb. Management options in such cases are thus not streamlined. We describe an unusual case of iliac vein stenosis in a patient with rectal carcinoma after combined chemoradiation therapy, managed with endovascular stenting. The possible mechanisms underlying the pathogenesis of venous stricture and their treatment options have been reviewed.

Keywords: endovascular; intervention; stenting technique; surgery; thrombosis; varicose; venous disease.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / pathology
  • Adenocarcinoma / therapy*
  • Angioplasty, Balloon / instrumentation*
  • Chemoradiotherapy, Adjuvant / adverse effects*
  • Constriction, Pathologic
  • Humans
  • Iliac Vein / diagnostic imaging
  • Iliac Vein / physiopathology
  • Iliac Vein / radiation effects*
  • Lower Extremity / blood supply*
  • Male
  • Middle Aged
  • Peripheral Vascular Diseases / diagnosis
  • Peripheral Vascular Diseases / etiology
  • Peripheral Vascular Diseases / physiopathology
  • Peripheral Vascular Diseases / therapy*
  • Phlebography
  • Radiation Injuries / diagnosis
  • Radiation Injuries / etiology
  • Radiation Injuries / physiopathology
  • Radiation Injuries / therapy*
  • Rectal Neoplasms / pathology
  • Rectal Neoplasms / therapy*
  • Stents*
  • Treatment Outcome
  • Ultrasonography, Doppler, Color
  • Vascular Patency