Post-thrombotic deep vein obstruction and/or incompetence can lead to severe chronic venous insufficiency in a significant number of cases. Post-thrombotic lesions are essentially of two types: (i) obstruction of various degrees; and (ii) valve destruction with subsequent reflux. These two elements are variously present at different levels. The most frequent combination is proximal occlusion or obstruction associated with sub-inguinal reflux.
The leading technique for treating proximal obstruction is stenting. Conversely, the leading technique for treating obstruction located below the inguinal ligament is endophlebectomy mainly in the common femoral vein. The treatment of deep venous reflux in post-thrombotic syndrome is based on a precise strategy deriving from an accurate diagnostic evaluation, based on several investigations. This phase should give us useful information for…
