ePoster
Presentation Description
Institution: Gold Coast University Hospital - Queensland, Australia
Objective
There remains no clear guideline on the surveillance duration of venous iliac stents placed following thrombectomy for iliofemoral deep venous thrombosis, usually in the presence of a May-Thurner compression of the left common iliac vein. The objective of this study was to review the data from our vascular service to establish any links between stent surveillance and reintervention.
Methods
Procedure coding data between 2019 and 2025 was obtained, identifying 27 eligible patients with iliofemoral deep vein thrombosis requiring intervention. Results from follow-up with ultrasound venous imaging was assessed, and outcomes measured as the need for reintervention compared to conservative non-operative management.
Results
25 patients (93%) had follow-up imaging of their lower limb venous systems following intervention. 9 patients (33%) had stents inserted for venous compression seen on fluoroscopy during thrombectomy. Of these, 3 (33%) required repeat intervention for reocclusion of the stents or new deep venous thrombosis of the same leg following thrombectomy.*
Conclusions
There was no added benefit identified in post-operative ultrasound surveillance of venous iliac stents, as complications requiring intervention arose either prior to the usual six-week post-operative scan, or showed no significant abnormality prior to re-presentation with symptomatic stent occlusion. While this is a preliminary audit of a small number of patients at a single centre, it may warrant further investigation to determine the need for ongoing surveillance of asymptomatic stented patients given the additional volume of imaging this places on vascular sonography services.
Speakers
Authors
Authors
Dr Hamish Tso -

