Review of imaging and endovascular intervention of iliocaval venous compression syndrome

作     者：Ming Ren Toh Tjun Yip Tang Han Hui Mervin Nathan Lim Nanda Venkatanarasimha Karthikeyan Damodharan 

作者机构：Duke-NUS Medical SchoolSingapore 544886Singapore Department of Vascular surgerySingapore General HospitalSingapore 169608Singapore Yong Yoo Ling School of MedicineSingapore 117597Singapore Department of RadiologySingapore General HospitalSingapore 169608Singapore Department of RadiologySengKang General HospitalSingapore 544886Singapore 

出 版 物：《World Journal of Radiology》 (世界放射学杂志（英文版）（电子版）)

年 卷 期：2020年第12卷第3期

页      面：18-28页

学科分类：0831[工学-生物医学工程（可授工学、理学、医学学位）] 100207[医学-影像医学与核医学] 1002[医学-临床医学] 08[工学] 1010[医学-医学技术（可授医学、理学学位）] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Iliocaval venous compression syndrome Duplex ultrasound Intravascular ultrasound Computed tomography venography Magnetic resonance venography Endovascular stent 

摘      要：Iliocaval venous compression syndrome(ICS)is the extrinsic compression of the common iliac vein by the overlying iliac artery against the *** compression can lead to venous stenosis and stasis,which manifests as chronic venous disease and treatment ***,early recognition of ICS and prompt treatment are *** presentations of ICS can be ambiguous and diagnosis requires a high index of suspicion with the relevant imaging *** initial imaging test is typically a Duplex ultrasound for vessel assessment and pelvic ultrasound to exclude a compressive mass,which is followed by computed tomography(CT)or magnetic resonance(MR)*** and MRI can identify the anatomical causes for venous *** patients with high clinical suspicion for ICS,negative findings on CT and MR venography would still warrant further *** diagnosis can be established using catheter-based venography complemented with intravascular ultrasonography but the nature of their invasiveness limits its utility as a routine imaging *** this review paper,we will discuss the evidence,utility and limitations of the existing imaging modalities and endovascular intervention used in the management of ICS.