Successful Wallstent exclusion of iliofemoral venous aneurysms-a new treatment paradigm

Arjun Jayaraj

doi:10.1016/j.jvscit.2023.101304

Successful Wallstent exclusion of iliofemoral venous aneurysms-a new treatment paradigm

J Vasc Surg Cases Innov Tech. 2023 Aug 23;9(4):101304. doi: 10.1016/j.jvscit.2023.101304. eCollection 2023 Dec.

Author

Arjun Jayaraj¹

Affiliation

¹ The RANE Center for Venous & Lymphatic Diseases, Jackson, MS.

Abstract

Treatment of venous aneurysms involving the iliac and femoral veins has generally been an open surgical approach, with a few case reports noting use of an endovascular approach. We report three cases: (1) a patient with an iliocaval occlusion involving an occluded TrapEase filter who presented with a large left external iliac vein aneurysm; (2) a patient with a left common femoral vein aneurysm; and (3) a patient with left profunda femoris vein aneurysms with associated pulmonary embolism. All three patients were successfully managed with the use of appropriately sized bare metal woven stents (Wallstents; Boston Scientific). Their clinical presentation, technical considerations, and outcomes are reviewed.

Keywords: Endovascular stenting; Iliac vein aneurysm; Venous aneurysms; Wallstent; Woven venous stent.