ArticleJournal of vascular surgery cases and innovative techniques2025
Endovenous bypass is an option in symptomatic patients with unsalvageable iliac vein stents.
Article in Journal of vascular surgery cases and innovative techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Best of 2025: Venous disease.Journal of vascular surgery cases and innovative techniques · 2026Article
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1 author.
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Abstract
Stent occlusion after stenting for chronic iliofemoral venous disease has an incidence of around 3% to 12% in the literature. The reasons for such occlusion vary, with patient and stent-related factors playing a role. One stent-related issue leading to stent occlusion is the use of undersized stents. Although undersized nitinol stents can be fractured and relined, this is not an option with a woven stent (eg, Wallstent). With an undersized, occluded woven stent, an option would be to bypass the occluded stent. This case report outlines the author's experience in such a setting where a patient presented with an undersized, occluded iliofemoral venous stent with severe quality-of-life impairing symptoms, and an endovenous bypass was created around the occluded stent column using Wallstent-Z stent combination. Nine months on, the patient remains significantly better with a patent stent.
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