Same-Day Relief: Ambulatory Surgery Center-Based Therapy for Chronic Venous Insufficiency
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Images/courtesy Sorin Medical
In this case, a 45-year-old female with CEAP 4 chronic venous insufficiency, history of left leg deep vein thrombosis (DVT), and inherited thrombophilia (Factor V Leiden and prothrombin G20210A) presented to an ambulatory surgery center (ASC) with worsening pain and edema despite anticoagulation, compression stockings, and leg elevation. Suspecting May-Thurner syndrome, clinicians ordered a venogram (Artis icono floor angiography system, Siemens Healthineers) that revealed total occlusion of the left common and external iliac veins with collateral formation (Figures A and B). The patient underwent percutaneous transluminal venoplasty and stent placement with a Venovo self-expanding stent (Becton, Dickinson and Company) via femoral vein access (Figures C and D). The procedure was well tolerated, and the patient was discharged the same day. At follow-up, she reported complete resolution of pain and edema, with improved limb function and quality of life.
