Recent Developments in the Management of the Post-Thrombotic Leg and Venous Compression Syndromes

Interest in and use of minimally invasive treatments in both acute and chronic deep venous pathologies is currently increasing exponentially. In cases of post-thrombotic syndrome with objective (on imaging) vein aberrations after deep vein thrombosis (DVT), endovenous percutaneous transluminal angioplasty and stenting have shown good clinical success rates with relatively high patency and low morbidity and mortality rates. Furthermore, additional interventions, such as endophlebectomy and arteriovenous fistula creation, are might be needed in case of common femoral vein involvement. In cases of venous compression syndromes without a history of DVT, even better results are obtained. This new field currently shows many interesting developments, with materials specifically designed for the deep venous system becoming available.