Management of Obstruction of the Femoroiliocaval Venous System
Publication Date: January 1, 2015
Last Updated: March 14, 2022
Recommendations for Management Of Obstruction of the Femoroiliocaval Venous System
We recommend venous balloon angioplasty and stenting for treatment of non-thrombotic and post-thrombotic iliac and common femoral venous obstructions in patients with lower extremity pain or edema affecting QOL not palliated by compression and for patients with impending or active lower extremity venous leg ulceration. (1B)
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We recommend venous balloon angioplasty and stenting for treatment of non-thrombotic and post-thrombotic IVC obstructions in patients with lower extremity pain or edema affecting QOL not palliated by compression and for patients with impending or active lower extremity venous leg ulceration. (1C)
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We recommend venous balloon angioplasty and stenting as an adjunct to catheter-directed thrombolysis for acute femoroiliocaval deep vein thrombosis in order to maintain vein patency and flow when a residual stenosis is found on post thrombolysis imaging. (1B)
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We recommend venous balloon angioplasty and stenting for treatment of non-thrombotic and postthrombotic iliac venous obstructions in patients with chronic pelvic pain, deep dyspareunia, or low back pain which severely affect the QOL when other likely causes have been excluded and the severity of the iliac vein obstruction is considered sufficient to explain the symptoms. (1C)
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Recommendation Grading
Overview
Title
Management of Obstruction of the Femoroiliocaval Venous System
Authoring Organization
American Vein & Lymphatic Society
Endorsing Organizations
American Venous Forum
Society for Vascular Surgery
Society of Interventional Radiology
Publication Month/Year
January 1, 2015
Last Updated Month/Year
July 31, 2023
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Inclusion Criteria
Female, Adult, Older adult
Health Care Settings
Ambulatory, Hospital, Operating and recovery room
Intended Users
Athletics coaching, nurse, nurse practitioner, physical therapist, physician, physician assistant
Scope
Diagnosis, Assessment and screening, Treatment, Management, Prevention
Diseases/Conditions (MeSH)
D020246 - Venous Thrombosis
Keywords
Femoroiliocaval Venous System, Obstruction, balloon angioplasty, Non-thrombotic venous obstruction, Post-thrombotic venous Obstruction