Extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature

Background Lower extremity ischemia due to extrinsic arterial compression by venous stent placement is a rare but increasingly recognized occurrence. Given the rise of complex venous interventions, awareness of this entity is becoming increasingly important to avoid serious complications. Case Prese...
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Autor*in:	Elsayed, Mohammad [verfasserIn] Sarkar, Debkumar Zhao, Ken Bryce, Yolanda Friedman, Adie

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Iliocaval stenting Iliac vein stenting Extrinsic arterial compression Arterial ischemia Venous stent Pelvic malignancy

Anmerkung:	© The Author(s) 2023

Übergeordnetes Werk:	Enthalten in: CVIR endovascular - [Cham] : Springer International Publishing, 2018, 6(2023), 1 vom: 07. März
Übergeordnetes Werk:	volume:6 ; year:2023 ; number:1 ; day:07 ; month:03

Links:	Volltext

DOI / URN:	10.1186/s42155-023-00358-x

Katalog-ID:	SPR049581988

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520			\|a Background Lower extremity ischemia due to extrinsic arterial compression by venous stent placement is a rare but increasingly recognized occurrence. Given the rise of complex venous interventions, awareness of this entity is becoming increasingly important to avoid serious complications. Case Presentation A 26-year-old with progressively enlarging pelvic sarcoma despite chemoradiation developed recurrent symptomatic right lower extremity deep venous thrombosis due to worsening mass effect on a previously placed right common iliac vein stent. This was treated with thrombectomy and stent revision, with extension of the right common iliac vein stent to the external iliac vein. During the immediate post-procedure period the patient developed symptoms of acute right lower extremity arterial ischemia including diminished pulses, pain, and motorsensory loss. Imaging confirmed extrinsic compression of the external iliac artery by the newly placed adjacent venous stent. The patient underwent stenting of the compressed artery with complete resolution of ischemic symptoms. Conclusions Awareness and early recognition of arterial ischemia following venous stent placement is important to prevent serious complication. Potential risk factors include patients with active pelvis malignancy, prior radiation, or scarring from surgery or other inflammatory processes. In cases of threatened limb, prompt treatment with arterial stenting is recommended. Further study is warranted to optimize detection and management of this complication.
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allfields	10.1186/s42155-023-00358-x doi (DE-627)SPR049581988 (SPR)s42155-023-00358-x-e DE-627 ger DE-627 rakwb eng Elsayed, Mohammad verfasserin (orcid)0000-0002-2353-5409 aut Extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Lower extremity ischemia due to extrinsic arterial compression by venous stent placement is a rare but increasingly recognized occurrence. Given the rise of complex venous interventions, awareness of this entity is becoming increasingly important to avoid serious complications. Case Presentation A 26-year-old with progressively enlarging pelvic sarcoma despite chemoradiation developed recurrent symptomatic right lower extremity deep venous thrombosis due to worsening mass effect on a previously placed right common iliac vein stent. This was treated with thrombectomy and stent revision, with extension of the right common iliac vein stent to the external iliac vein. During the immediate post-procedure period the patient developed symptoms of acute right lower extremity arterial ischemia including diminished pulses, pain, and motorsensory loss. Imaging confirmed extrinsic compression of the external iliac artery by the newly placed adjacent venous stent. The patient underwent stenting of the compressed artery with complete resolution of ischemic symptoms. Conclusions Awareness and early recognition of arterial ischemia following venous stent placement is important to prevent serious complication. Potential risk factors include patients with active pelvis malignancy, prior radiation, or scarring from surgery or other inflammatory processes. In cases of threatened limb, prompt treatment with arterial stenting is recommended. Further study is warranted to optimize detection and management of this complication. Iliocaval stenting (dpeaa)DE-He213 Iliac vein stenting (dpeaa)DE-He213 Extrinsic arterial compression (dpeaa)DE-He213 Arterial ischemia (dpeaa)DE-He213 Venous stent (dpeaa)DE-He213 Pelvic malignancy (dpeaa)DE-He213 Sarkar, Debkumar aut Zhao, Ken aut Bryce, Yolanda aut Friedman, Adie aut Enthalten in CVIR endovascular [Cham] : Springer International Publishing, 2018 6(2023), 1 vom: 07. März (DE-627)102523247X (DE-600)2934084-6 2520-8934 nnns volume:6 year:2023 number:1 day:07 month:03 https://dx.doi.org/10.1186/s42155-023-00358-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2023 1 07 03
spelling	10.1186/s42155-023-00358-x doi (DE-627)SPR049581988 (SPR)s42155-023-00358-x-e DE-627 ger DE-627 rakwb eng Elsayed, Mohammad verfasserin (orcid)0000-0002-2353-5409 aut Extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Lower extremity ischemia due to extrinsic arterial compression by venous stent placement is a rare but increasingly recognized occurrence. Given the rise of complex venous interventions, awareness of this entity is becoming increasingly important to avoid serious complications. Case Presentation A 26-year-old with progressively enlarging pelvic sarcoma despite chemoradiation developed recurrent symptomatic right lower extremity deep venous thrombosis due to worsening mass effect on a previously placed right common iliac vein stent. This was treated with thrombectomy and stent revision, with extension of the right common iliac vein stent to the external iliac vein. During the immediate post-procedure period the patient developed symptoms of acute right lower extremity arterial ischemia including diminished pulses, pain, and motorsensory loss. Imaging confirmed extrinsic compression of the external iliac artery by the newly placed adjacent venous stent. The patient underwent stenting of the compressed artery with complete resolution of ischemic symptoms. Conclusions Awareness and early recognition of arterial ischemia following venous stent placement is important to prevent serious complication. Potential risk factors include patients with active pelvis malignancy, prior radiation, or scarring from surgery or other inflammatory processes. In cases of threatened limb, prompt treatment with arterial stenting is recommended. Further study is warranted to optimize detection and management of this complication. Iliocaval stenting (dpeaa)DE-He213 Iliac vein stenting (dpeaa)DE-He213 Extrinsic arterial compression (dpeaa)DE-He213 Arterial ischemia (dpeaa)DE-He213 Venous stent (dpeaa)DE-He213 Pelvic malignancy (dpeaa)DE-He213 Sarkar, Debkumar aut Zhao, Ken aut Bryce, Yolanda aut Friedman, Adie aut Enthalten in CVIR endovascular [Cham] : Springer International Publishing, 2018 6(2023), 1 vom: 07. März (DE-627)102523247X (DE-600)2934084-6 2520-8934 nnns volume:6 year:2023 number:1 day:07 month:03 https://dx.doi.org/10.1186/s42155-023-00358-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2023 1 07 03
allfields_unstemmed	10.1186/s42155-023-00358-x doi (DE-627)SPR049581988 (SPR)s42155-023-00358-x-e DE-627 ger DE-627 rakwb eng Elsayed, Mohammad verfasserin (orcid)0000-0002-2353-5409 aut Extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Lower extremity ischemia due to extrinsic arterial compression by venous stent placement is a rare but increasingly recognized occurrence. Given the rise of complex venous interventions, awareness of this entity is becoming increasingly important to avoid serious complications. Case Presentation A 26-year-old with progressively enlarging pelvic sarcoma despite chemoradiation developed recurrent symptomatic right lower extremity deep venous thrombosis due to worsening mass effect on a previously placed right common iliac vein stent. This was treated with thrombectomy and stent revision, with extension of the right common iliac vein stent to the external iliac vein. During the immediate post-procedure period the patient developed symptoms of acute right lower extremity arterial ischemia including diminished pulses, pain, and motorsensory loss. Imaging confirmed extrinsic compression of the external iliac artery by the newly placed adjacent venous stent. The patient underwent stenting of the compressed artery with complete resolution of ischemic symptoms. Conclusions Awareness and early recognition of arterial ischemia following venous stent placement is important to prevent serious complication. Potential risk factors include patients with active pelvis malignancy, prior radiation, or scarring from surgery or other inflammatory processes. In cases of threatened limb, prompt treatment with arterial stenting is recommended. Further study is warranted to optimize detection and management of this complication. Iliocaval stenting (dpeaa)DE-He213 Iliac vein stenting (dpeaa)DE-He213 Extrinsic arterial compression (dpeaa)DE-He213 Arterial ischemia (dpeaa)DE-He213 Venous stent (dpeaa)DE-He213 Pelvic malignancy (dpeaa)DE-He213 Sarkar, Debkumar aut Zhao, Ken aut Bryce, Yolanda aut Friedman, Adie aut Enthalten in CVIR endovascular [Cham] : Springer International Publishing, 2018 6(2023), 1 vom: 07. März (DE-627)102523247X (DE-600)2934084-6 2520-8934 nnns volume:6 year:2023 number:1 day:07 month:03 https://dx.doi.org/10.1186/s42155-023-00358-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2023 1 07 03
allfieldsGer	10.1186/s42155-023-00358-x doi (DE-627)SPR049581988 (SPR)s42155-023-00358-x-e DE-627 ger DE-627 rakwb eng Elsayed, Mohammad verfasserin (orcid)0000-0002-2353-5409 aut Extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Lower extremity ischemia due to extrinsic arterial compression by venous stent placement is a rare but increasingly recognized occurrence. Given the rise of complex venous interventions, awareness of this entity is becoming increasingly important to avoid serious complications. Case Presentation A 26-year-old with progressively enlarging pelvic sarcoma despite chemoradiation developed recurrent symptomatic right lower extremity deep venous thrombosis due to worsening mass effect on a previously placed right common iliac vein stent. This was treated with thrombectomy and stent revision, with extension of the right common iliac vein stent to the external iliac vein. During the immediate post-procedure period the patient developed symptoms of acute right lower extremity arterial ischemia including diminished pulses, pain, and motorsensory loss. Imaging confirmed extrinsic compression of the external iliac artery by the newly placed adjacent venous stent. The patient underwent stenting of the compressed artery with complete resolution of ischemic symptoms. Conclusions Awareness and early recognition of arterial ischemia following venous stent placement is important to prevent serious complication. Potential risk factors include patients with active pelvis malignancy, prior radiation, or scarring from surgery or other inflammatory processes. In cases of threatened limb, prompt treatment with arterial stenting is recommended. Further study is warranted to optimize detection and management of this complication. Iliocaval stenting (dpeaa)DE-He213 Iliac vein stenting (dpeaa)DE-He213 Extrinsic arterial compression (dpeaa)DE-He213 Arterial ischemia (dpeaa)DE-He213 Venous stent (dpeaa)DE-He213 Pelvic malignancy (dpeaa)DE-He213 Sarkar, Debkumar aut Zhao, Ken aut Bryce, Yolanda aut Friedman, Adie aut Enthalten in CVIR endovascular [Cham] : Springer International Publishing, 2018 6(2023), 1 vom: 07. März (DE-627)102523247X (DE-600)2934084-6 2520-8934 nnns volume:6 year:2023 number:1 day:07 month:03 https://dx.doi.org/10.1186/s42155-023-00358-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2023 1 07 03
allfieldsSound	10.1186/s42155-023-00358-x doi (DE-627)SPR049581988 (SPR)s42155-023-00358-x-e DE-627 ger DE-627 rakwb eng Elsayed, Mohammad verfasserin (orcid)0000-0002-2353-5409 aut Extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Lower extremity ischemia due to extrinsic arterial compression by venous stent placement is a rare but increasingly recognized occurrence. Given the rise of complex venous interventions, awareness of this entity is becoming increasingly important to avoid serious complications. Case Presentation A 26-year-old with progressively enlarging pelvic sarcoma despite chemoradiation developed recurrent symptomatic right lower extremity deep venous thrombosis due to worsening mass effect on a previously placed right common iliac vein stent. This was treated with thrombectomy and stent revision, with extension of the right common iliac vein stent to the external iliac vein. During the immediate post-procedure period the patient developed symptoms of acute right lower extremity arterial ischemia including diminished pulses, pain, and motorsensory loss. Imaging confirmed extrinsic compression of the external iliac artery by the newly placed adjacent venous stent. The patient underwent stenting of the compressed artery with complete resolution of ischemic symptoms. Conclusions Awareness and early recognition of arterial ischemia following venous stent placement is important to prevent serious complication. Potential risk factors include patients with active pelvis malignancy, prior radiation, or scarring from surgery or other inflammatory processes. In cases of threatened limb, prompt treatment with arterial stenting is recommended. Further study is warranted to optimize detection and management of this complication. Iliocaval stenting (dpeaa)DE-He213 Iliac vein stenting (dpeaa)DE-He213 Extrinsic arterial compression (dpeaa)DE-He213 Arterial ischemia (dpeaa)DE-He213 Venous stent (dpeaa)DE-He213 Pelvic malignancy (dpeaa)DE-He213 Sarkar, Debkumar aut Zhao, Ken aut Bryce, Yolanda aut Friedman, Adie aut Enthalten in CVIR endovascular [Cham] : Springer International Publishing, 2018 6(2023), 1 vom: 07. März (DE-627)102523247X (DE-600)2934084-6 2520-8934 nnns volume:6 year:2023 number:1 day:07 month:03 https://dx.doi.org/10.1186/s42155-023-00358-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2023 1 07 03
language	English
source	Enthalten in CVIR endovascular 6(2023), 1 vom: 07. März volume:6 year:2023 number:1 day:07 month:03
sourceStr	Enthalten in CVIR endovascular 6(2023), 1 vom: 07. März volume:6 year:2023 number:1 day:07 month:03
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Iliocaval stenting Iliac vein stenting Extrinsic arterial compression Arterial ischemia Venous stent Pelvic malignancy
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container_title	CVIR endovascular
authorswithroles_txt_mv	Elsayed, Mohammad @@aut@@ Sarkar, Debkumar @@aut@@ Zhao, Ken @@aut@@ Bryce, Yolanda @@aut@@ Friedman, Adie @@aut@@
publishDateDaySort_date	2023-03-07T00:00:00Z
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Given the rise of complex venous interventions, awareness of this entity is becoming increasingly important to avoid serious complications. Case Presentation A 26-year-old with progressively enlarging pelvic sarcoma despite chemoradiation developed recurrent symptomatic right lower extremity deep venous thrombosis due to worsening mass effect on a previously placed right common iliac vein stent. This was treated with thrombectomy and stent revision, with extension of the right common iliac vein stent to the external iliac vein. During the immediate post-procedure period the patient developed symptoms of acute right lower extremity arterial ischemia including diminished pulses, pain, and motorsensory loss. Imaging confirmed extrinsic compression of the external iliac artery by the newly placed adjacent venous stent. The patient underwent stenting of the compressed artery with complete resolution of ischemic symptoms. Conclusions Awareness and early recognition of arterial ischemia following venous stent placement is important to prevent serious complication. Potential risk factors include patients with active pelvis malignancy, prior radiation, or scarring from surgery or other inflammatory processes. In cases of threatened limb, prompt treatment with arterial stenting is recommended. 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author	Elsayed, Mohammad
spellingShingle	Elsayed, Mohammad misc Iliocaval stenting misc Iliac vein stenting misc Extrinsic arterial compression misc Arterial ischemia misc Venous stent misc Pelvic malignancy Extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature
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topic_title	Extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature Iliocaval stenting (dpeaa)DE-He213 Iliac vein stenting (dpeaa)DE-He213 Extrinsic arterial compression (dpeaa)DE-He213 Arterial ischemia (dpeaa)DE-He213 Venous stent (dpeaa)DE-He213 Pelvic malignancy (dpeaa)DE-He213
topic	misc Iliocaval stenting misc Iliac vein stenting misc Extrinsic arterial compression misc Arterial ischemia misc Venous stent misc Pelvic malignancy
topic_unstemmed	misc Iliocaval stenting misc Iliac vein stenting misc Extrinsic arterial compression misc Arterial ischemia misc Venous stent misc Pelvic malignancy
topic_browse	misc Iliocaval stenting misc Iliac vein stenting misc Extrinsic arterial compression misc Arterial ischemia misc Venous stent misc Pelvic malignancy
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title	Extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature
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title_full	Extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature
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author_browse	Elsayed, Mohammad Sarkar, Debkumar Zhao, Ken Bryce, Yolanda Friedman, Adie
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title_sort	extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature
title_auth	Extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature
abstract	Background Lower extremity ischemia due to extrinsic arterial compression by venous stent placement is a rare but increasingly recognized occurrence. Given the rise of complex venous interventions, awareness of this entity is becoming increasingly important to avoid serious complications. Case Presentation A 26-year-old with progressively enlarging pelvic sarcoma despite chemoradiation developed recurrent symptomatic right lower extremity deep venous thrombosis due to worsening mass effect on a previously placed right common iliac vein stent. This was treated with thrombectomy and stent revision, with extension of the right common iliac vein stent to the external iliac vein. During the immediate post-procedure period the patient developed symptoms of acute right lower extremity arterial ischemia including diminished pulses, pain, and motorsensory loss. Imaging confirmed extrinsic compression of the external iliac artery by the newly placed adjacent venous stent. The patient underwent stenting of the compressed artery with complete resolution of ischemic symptoms. Conclusions Awareness and early recognition of arterial ischemia following venous stent placement is important to prevent serious complication. Potential risk factors include patients with active pelvis malignancy, prior radiation, or scarring from surgery or other inflammatory processes. In cases of threatened limb, prompt treatment with arterial stenting is recommended. Further study is warranted to optimize detection and management of this complication. © The Author(s) 2023
abstractGer	Background Lower extremity ischemia due to extrinsic arterial compression by venous stent placement is a rare but increasingly recognized occurrence. Given the rise of complex venous interventions, awareness of this entity is becoming increasingly important to avoid serious complications. Case Presentation A 26-year-old with progressively enlarging pelvic sarcoma despite chemoradiation developed recurrent symptomatic right lower extremity deep venous thrombosis due to worsening mass effect on a previously placed right common iliac vein stent. This was treated with thrombectomy and stent revision, with extension of the right common iliac vein stent to the external iliac vein. During the immediate post-procedure period the patient developed symptoms of acute right lower extremity arterial ischemia including diminished pulses, pain, and motorsensory loss. Imaging confirmed extrinsic compression of the external iliac artery by the newly placed adjacent venous stent. The patient underwent stenting of the compressed artery with complete resolution of ischemic symptoms. Conclusions Awareness and early recognition of arterial ischemia following venous stent placement is important to prevent serious complication. Potential risk factors include patients with active pelvis malignancy, prior radiation, or scarring from surgery or other inflammatory processes. In cases of threatened limb, prompt treatment with arterial stenting is recommended. Further study is warranted to optimize detection and management of this complication. © The Author(s) 2023
abstract_unstemmed	Background Lower extremity ischemia due to extrinsic arterial compression by venous stent placement is a rare but increasingly recognized occurrence. Given the rise of complex venous interventions, awareness of this entity is becoming increasingly important to avoid serious complications. Case Presentation A 26-year-old with progressively enlarging pelvic sarcoma despite chemoradiation developed recurrent symptomatic right lower extremity deep venous thrombosis due to worsening mass effect on a previously placed right common iliac vein stent. This was treated with thrombectomy and stent revision, with extension of the right common iliac vein stent to the external iliac vein. During the immediate post-procedure period the patient developed symptoms of acute right lower extremity arterial ischemia including diminished pulses, pain, and motorsensory loss. Imaging confirmed extrinsic compression of the external iliac artery by the newly placed adjacent venous stent. The patient underwent stenting of the compressed artery with complete resolution of ischemic symptoms. Conclusions Awareness and early recognition of arterial ischemia following venous stent placement is important to prevent serious complication. Potential risk factors include patients with active pelvis malignancy, prior radiation, or scarring from surgery or other inflammatory processes. In cases of threatened limb, prompt treatment with arterial stenting is recommended. Further study is warranted to optimize detection and management of this complication. © The Author(s) 2023
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title_short	Extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature
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Extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature

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