Evidence map›Paper›PMID 42388493›Full record

ArticleFrontiers in medicine2026

Case Report: Endovascular treatment of spontaneous iliac vein rupture complicated with lower extremity deep vein thrombosis.

Yun-Dong Chen, Qi Dong

Abstract readCase Reports
In one paragraph

Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Yun-Dong ChenDepartment of Interventional Radiology, Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, China.
Qi DongDepartment of Otolaryngology Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Spontaneous iliac vein rupture (SIVR) is an extremely rare life-threatening vascular emergency with a 22% reported mortality. It predominantly affects middle-aged women, mostly involves the left iliac vein, and is frequently complicated by lower extremity deep vein thrombosis (DVT). Its nonspecific manifestations often lead to misdiagnosis and delayed treatment. This report presents a SIVR case with DVT and reviews relevant literature to inform clinical practice. Case presentation: The patient was a 60-year-old female admitted for sudden onset of lower abdominal pain and left lower extremity swelling after squatting, with stable hemodynamics. Abdominal computed tomography (CT) revealed pelvic hematoma, lower extremity ultrasound confirmed extensive left lower extremity DVT, and left external iliac vein rupture was diagnosed by venography. The patient underwent covered stent implantation combined with percutaneous mechanical thrombectomy (PMT) and postoperative catheter-directed thrombolysis (CDT). The rupture was successfully occluded, and the thrombus was completely removed. During the 1-year follow-up, the stent maintained favorable morphology and luminal patency, with no occurrence of post-thrombotic syndrome. Conclusion: SIVR predominantly occurs in middle-aged and elderly women, almost always involves the left iliac vein, and is frequently complicated with DVT. Venous compression associated with May-Thurner syndrome (MTS) is a critical predisposing factor. Venography is the key to definitive diagnosis. Endovascular treatment has shown favorable efficacy and safety in hemodynamically stable patients, and individualized anticoagulation strategies help improve long-term prognosis.

Indexed as

case reportcovered stent implantationdeep vein thrombosisendovascular treatmentspontaneous iliac vein rupture

Identifiers

PMID42388493
PMCPMC13318620

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.