Stenting of the Left Iiac Vein

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Stenting of the Left Iiac Vein

By Mount Sinai Peripheral Live Cases FEATURING Prakash Krishnan

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November 11, 2015

Case:

CC: 43 y.o. woman with chronic left LE swelling and discomfort
Past medical history: ...
read more ↘ Left LE recurrent DVT, Hypothyroidism, Hypopituitarism, Acromegalic gigantism, Hypocortisolism, Cervical Cancer, Pituitary surgery
Medications: Aspirin, Plavix, Cilostazol, Lipitor, Metoprolol, Enalapril, Norvasc, Glipizide, Levothyroxine, Meformin
Medications: Prednisone, Levothyroxine, Warfarin
Social History: Non-Smoker, No history of alcohol or drug abuse
Pertinent Physical Examination:

Vitals: 110/70, Pulse-77/min, Pulse Ox-98% on RA, RR-16/min, Temp-98F
Left lower extremity swelling with pitting edema
CT Angiography of the Pelvis and Lower Extremities:

Focal stenosis of the left common iliac vein between the right common iliac artery and lumbar spine, consistent with May-Thurner syndrome
Heterogeneously dense left external iliac vein , which may represent chronic thrombus versus mixing of contrast in a slow flowing vessel

Plan
Stenting of the left liac vein
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