Iliac venous stenting as adjunct in the management of symptomatic orthostatic hypotension in iliac vein compression
Orthostatic hypotension (OH) is a common cardiovascular disorder with high prevalence in the elderly. Concomitant venous return impairment may worsen the autonomic response and accentuate the symptoms. We detailed a patient with severe OH, prominent varicosities, and hemosiderin deposition in lower...
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          | Main Authors: | , , , | 
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| Format: | Article | 
| Language: | English | 
| Published: | Elsevier
    
        2024-12-01 | 
| Series: | Journal of Vascular Surgery Cases and Innovative Techniques | 
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724000674 | 
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| Summary: | Orthostatic hypotension (OH) is a common cardiovascular disorder with high prevalence in the elderly. Concomitant venous return impairment may worsen the autonomic response and accentuate the symptoms. We detailed a patient with severe OH, prominent varicosities, and hemosiderin deposition in lower limbs. After excluding autonomic and neurological etiology, a computed tomography venography revealed significant common iliac vein compression. The patient was deemed to benefit from venous stenting. At a 2-year follow-up, the patient reported symptom improvement with adequate stent patency. Venous stenting may aid in the treatment of patients with severe OH symptoms without clear etiology and impairment of venous return. | 
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| ISSN: | 2468-4287 | 
 
       