TY - JOUR AU - Pinto Sousa, Pedro PY - 2022/03/02 Y2 - 2024/03/29 TI - ENDOVASCULAR TREATMENT FOR POSTTHROMBOTIC SYNDROME DUE TO UTERINE FIBROIDS JF - Angiologia e Cirurgia Vascular JA - Angiol Cir Vasc VL - 17 IS - 4 SE - Clinical Case DO - 10.48750/acv.304 UR - https://acvjournal.com/index.php/acv/article/view/304 SP - 344-348 AB - <div class="page" title="Page 1"><div class="layoutArea"><div class="column"><p>Uterine fibroids are the most common solid pelvic tumors in women, frequently causing hypomenorrhea.<br />They normally do not carry an increased risk for deep venous thrombosis (DVT) unless they reach a considerable size conditioning inferior vena cava and pelvic veins compression.<br />Postthrombotic iliac vein obstructive lesions resulting from a prior episode of DVT may lead to clinical signs and</p><p>symptoms of chronic vein disease.<br />There is no role for prophylactic treatment of silent lesions. However, if patients develop advanced symptoms (CEAP C3-C6 classification) despite best medical treatment, patients are candidates for endovascular correction with stenting. Endovenous correction of ilio-caval pathology is associated with high technical success rate and reduced complications, around 0.4%.<br />The authors describe a clinical case of a 47 years-old female patient that developed post-thrombotic syndrome due to a DVT, caused by compression from a large uterine fibroid, treated with endovascular surgery.</p></div></div></div> ER -