A stent may be a mistake
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Venous stents are mainly inserted to treat thrombosis and postthrombotic venous obstructions. Even in this field they carry specific risks.

In venous compression syndromes their application is even more questionable due to the curved course of the afflicted vein. This principal difference to normal veins is the reason for higher failure rates.

Lateral view of the penetrating triangular peaks of the stent causing massive pain. Clearly visible: the curtain effect – the left renal vein hangs down in front of the left aperture of the stent. Image by courtesy of Prof. W. Sandmann

 

2020 06 04 Stent failure in abdominal venous compression syndromes

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