Iliofemoral deep vein thrombosis

Changed by Daniel J Bell, 24 Jul 2017

Updates to Article Attributes

Body was changed:

Iliofemoral deep vein thrombosis occurs when a thrombus in the iliac vein (common, external, or internal) or common femoral vein obstructs the venous outflow from the lower limb leading to marked oedema.

Clinical presentation

To be added

Radiographic appearance

To be added

Pathology

To be added

Treatment and prognosis

Generally they areiliofemoral deep vein thrombosis is treated with anticoagulation much like regular deep vein thrombosis however they have a very poor spontaneous recanalisation rates (30%) cf. femoral DVTs (70%). The majority of cases of severe post thrombotic syndrome are associated with poorly-recanalised iliac veins. 80% of patients with iliofemoral deep vein thrombosis have an underlying venous stenosis proximally such as May-Thurner syndrome

It is important to identify iliofemoral deep vein thrombosis as there is a role for catheter-directed thrombolysis.

  • -<p><strong>Iliofemoral deep vein thrombosis</strong> occurs when a thrombus in the iliac vein (common, external, internal) or common femoral vein obstructs the venous outflow from the lower limb leading to marked oedema.</p><h4>Clinical presentation</h4><p>To be added</p><h4>Radiographic appearance</h4><p>To be added</p><h4>Pathology</h4><p>To be added</p><h4>Treatment and prognosis</h4><p>Generally they are treated with anticoagulation much like regular <a href="/articles/deep-vein-thrombosis">deep vein thrombosis</a> however they have very poor spontaneous recanalisation rates (30%) cf. femoral DVTs (70%). The majority of cases of severe <a href="/articles/post-thrombotic-syndrome">post thrombotic syndrome</a> are associated with poorly-recanalised iliac veins. 80% of patients with iliofemoral deep vein thrombosis have an underlying venous stenosis proximally such as <a href="/articles/may-thurner-syndrome-2">May-Thurner syndrome</a>. </p><p>It is important to identify iliofemoral deep vein thrombosis as there is a role for catheter-directed thrombolysis. </p><p> </p><p> </p>
  • +<p><strong>Iliofemoral deep vein thrombosis</strong> occurs when a thrombus in the iliac vein (common, external or internal) or common femoral vein obstructs the venous outflow from the lower limb leading to marked oedema.</p><h4>Clinical presentation</h4><p>To be added</p><h4>Radiographic appearance</h4><p>To be added</p><h4>Pathology</h4><p>To be added</p><h4>Treatment and prognosis</h4><p>Generally iliofemoral deep vein thrombosis is treated with anticoagulation much like regular <a href="/articles/deep-vein-thrombosis">deep vein thrombosis</a> however they have a very poor spontaneous recanalisation rates (30%) cf. femoral DVTs (70%). The majority of cases of severe <a href="/articles/post-thrombotic-syndrome">post thrombotic syndrome</a> are associated with poorly-recanalised iliac veins. 80% of patients with iliofemoral deep vein thrombosis have an underlying venous stenosis proximally such as <a href="/articles/may-thurner-syndrome-2">May-Thurner syndrome</a>. </p><p>It is important to identify iliofemoral deep vein thrombosis as there is a role for catheter-directed thrombolysis.</p>

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