PURPOSE: To determine the frequency of iliac venous spurs in @entity49 and to report the results of interventional management of venous spurs after transfemoral venous thrombectomy. METHODS: From 1990 through 1996, 77 @entity1 with acute @entity49 (61 left and 16 right) underwent surgical treatment. @entity1 with @entity5 were excluded from this series. All @entity1 had transfemoral venous thrombectomy with construction of an inguinal arteriovenous fistula and perioperative anticoagulation with heparin with a switch to @entity1229 for at least 12 postoperative months. Immediate results of thrombectomy were documented by means of intraoperative completion venography. @entity2548 were ligated 3 months after control arteriovenography. Since 1995 venous spurs eventually detected during thrombectomy were treated immediately by means of stent implantation. RESULTS: Among 61 @entity1 with left-sided @entity715 , intraoperative phlebography revealed common @entity1211 in 30 @entity1 (49%). In 16 of 22 @entity1 (73%) with untreated spurs, @entity86 of the iliac vein was documented despite adequate anticoagulation. Only one of eight @entity1 (13%) with stented spurs had reocclusion (chi2 test P < .01). CONCLUSION: Venous spurs are found among about half of @entity1 with left-sided @entity49 . As long as the underlying venous pathologic process is left untreated, thrombectomy will not restore patency. Stent implantation is a simple and safe means to correct central venous strictures and provides excellent long-term results.

XXXX caused by venous spur: treatment with thrombectomy and stent implantation.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignant disease'] @entity49 :: ('MESH:D019851', 'Disease') :: ['left iliofemoral venous thrombosis', 'iliac venous thrombosis'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative rethrombosis'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombosis'] @entity2548 :: ('MESH:D001164', 'Disease') :: ['Arteriovenous fistulas'] @entity1211 :: ('MESH:D054556', 'Disease') :: ['iliac venous obstruction suggestive of venous spurs'] @entity1229 :: ('MESH:D014859', 'Chemical') :: ['warfarin sodium']
@entity49 :: (MESH:D019851,Disease) :: ['Left iliac venous thrombosis']
