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Reversal of Deep Vein Reflux After Successful Stenting in a Patient With Venous Hypertension After Thigh Access Graft Creation

Department of Vascular Surgery, Demokritos University Hospital, Alexandroupolis, Greece

George S. Georgiadis, MD

Department of Vascular Surgery, Demokritos University Hospital, Alexandroupolis, Greece

Vasilios D. Souftas, MD

Department of Radiology Demokritos University Hospital, Alexandroupolis, Greece

Savas P. Deftereos, MD

Department of Radiology Demokritos University Hospital, Alexandroupolis, Greece

Miltos K. Lazarides, MD

Department of Vascular Surgery, Demokritos University Hospital, Alexandroupolis, Greece, mlazarid @med.duth.gr.

Presented here is a case of reversal of deep vein reflux after successful stenting in a patient with venous hypertension and valve incompetence after thigh angioaccess creation. The patient with exhausted upper-extremity access sites underwent a loop graft in the upper thigh. Six months later, the patient developed leg edema and significant femoral vein reflux on duplex ultrasound. Fistulography revealed an iliac vein stenosis, which was treated successfully with stenting. The edema and reflux on duplex promptly resolved. In similar cases, reflux may be a consequence of functional valve incompetence and can be reverted by timely treating the underlying stenosis.

Key Words: vascular access • deep vein reflux • arteriovenous loop thigh graft • common iliac vein stenting

Vascular and Endovascular Surgery, Vol. 41, No. 6, 547-550 (2008)
DOI: 10.1177/1538574407305459


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