Extrinsic venous compression secondary to spine osteophytes

dc.contributor.authorGonzalez-Urquijo, Mauricio
dc.contributor.authorTorrealba, Jose
dc.contributor.authorFrancisco Vargas, Jose
dc.contributor.authorMertens, Renato
dc.contributor.authorMarine, Leopoldo
dc.contributor.authorValdes, Francisco
dc.date.accessioned2025-01-20T20:21:44Z
dc.date.available2025-01-20T20:21:44Z
dc.date.issued2023
dc.description.abstractObjective This study aims to report two cases of symptomatic extrinsic compression of the inferior vena cava and left iliac vein caused by vertebral osteophytes. Methods We present two case reports of extrinsic venous compression by vertebral osteophytes. Both cases were endovascularly treated, with a successful outcome. A review of the literature of this unusual condition is also presented. Results The first patient is an 80-year-old woman who presented to the vascular surgery clinic with bilateral lower extremity edema and pain. A computed-tomography angiography (CTA) revealed extrinsic compression of the inferior vena cava from enlarged osteophytes. Venography and intravascular ultrasound were performed, confirming the diagnosis. A self-expanding venous stent was successfully deployed in the inferior vena cava relieving the extrinsic compression. The edema resolved the following day and was discharged without complications. The second patient is a 61-year-old male that presented to the emergency department with a left iliofemoral deep venous thrombosis. CTA showed left iliac vein compression by a lumbar osteophyte. Percutaneous thrombectomy was successfully achieved and an expanding stent was deployed covering the entire lesion. One month after the procedure the patient died from COVID-19-associated respiratory failure. Conclusion Osteophytes must be considered when dealing with extrinsic venous compression, especially in elderly people.
dc.fuente.origenWOS
dc.identifier.doi10.1177/17085381221084815
dc.identifier.eissn1708-539X
dc.identifier.issn1708-5381
dc.identifier.urihttps://doi.org/10.1177/17085381221084815
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/92642
dc.identifier.wosidWOS:000780230500001
dc.issue.numero4
dc.language.isoen
dc.pagina.final817
dc.pagina.inicio813
dc.revistaVascular
dc.rightsacceso restringido
dc.subjectosteophyte
dc.subjectextrinsic venous compression
dc.subjectcompression
dc.subjectvenous stent
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleExtrinsic venous compression secondary to spine osteophytes
dc.typeartículo
dc.volumen31
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
Files