Iliac Vein Compression Syndrome in Spinal Cord Injury.

, Shin, Ji Cheol; , Kim, Eun Joo; , Park, Chang Il; , Jeon, Sang Chul; , Yoo, Jee Hyun; , Lee, Do Yon

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2005;29(3):266-271.

Shin, Ji Cheol , Kim, Eun Joo , Park, Chang Il , Jeon, Sang Chul , Yoo, Jee Hyun , Lee, Do Yon

¹Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. sangchul75@hanmail.net
²Department of Diagnostic Radiology, Yonsei University College of Medicine, Korea.

척수손상 환자의 장골정맥 압박증후군

신지철, 김은주, 박창일, 전상철, 유지현, 이도연¹

연세대학교 의과대학 재활의학교실 및 재활의학연구소, ¹진단방사선과학교실

Abstract

Objective
Iliac vein compression syndrome is a well-recognized anatomic variant that is associated with the development of symptomatic deep venous thrombosis (DVT) of the left iliac vein. However, its relation with DVT in spinal cord injury has not been established. The purpose of this study was to determine the relation between iliac vein compression syndrome and DVT in spinal cord injured patients.
Method
Thirteen spinal cord injured patients diagnosed with DVT from January 2002 to December 2003 were evaluated. After ascending venography, the catheter-directed thrombolytic therapy and balloon angioplasty with stent insertion after 24 hours of thrombolytic therapy were done
Results
Twelve of 13 patients showed that the left iliac vein was compressed by the right iliac artery, with thrombosis shown in the distal venous segment of the crossover point and had a collateral formation. All 12 patients had residual stenosis of left iliac vein in spite of the thrombolytic therapy. The unimpeded venous flow of iliofemoral veins was revealed after the balloon angioplasty with stent insertion.
Conclusion
We suggested that the proper evaluation and management about iliac vein compression syndrome be considered when residual stenosis was persistent through the chemical dissolution in spinal cord injured patient with left iliac vein thrombosis. (J Korean Acad Rehab Med 2005; 29: 266-271)

Key Words: Deep vein thrombosis, Iliac vein compression syndrome, Spinal cord injury