关键词: 髂静脉压迫综合征, 影像学检查, 球囊扩张, 支架植入

Abstract: Diagnosis and treatment of Iliac vein compression syndrome        ZHANG Wei, LIU Hong, ZHAO Yu. Department of Vascular Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Corresponding author: ZHAO Yu,E-mail:820994765@qq.com
Abstract    Iliac vein compression syndrome(IVCS)has gained significant attention as a peripheral venous disease in recent years. Clinically it can be classified into three types: asymptomatic chronic venous insufficiency and acute iliofemoral venous thrombosis. The diagnosis of IVCS primarily relies on imaging examinations with commonly used methods including color Doppler ultrasound(CDU) intravascular ultrasound(IVUS) digital subtraction angiography(DSA) computed tomography venography(CTV) and magnetic resonance venography(MRV). Among these ultrasound CTV and MRV play crucial roles in the diagnosis of IVCS. The choice of appropriate diagnostic methods should be based on specific situations. Treatment methods for IVCS mainly include conservative and surgical approaches. Surgical treatment primarily involving balloon dilation and stent implantation effectively relieves iliac vein outflow obstruction alleviates symptoms of chronic venous insufficiency and prevents deep vein thrombosis formation. There are still some controversies regarding the indications for surgical treatment stent selection and postoperative management necessitating further clinical research and consensus formation.

Key words: iliac vein compression syndrome, imaging examination, balloon dilation, stent implantation