Iliac Vein Stent Placement

Iliac vein stent placement is a safe, minimally invasive procedure designed to restore normal blood flow in patients with narrowed or compressed iliac veins. This treatment is commonly used for conditions such as May–Thurner syndrome and chronic venous obstruction. By placing a small mesh stent inside the vein, blood flow is improved, symptoms are relieved, and the risk of complications like Deep vein thrombosis (DVT) is reduced. The procedure is typically performed on an outpatient basis, with minimal discomfort and a fast recovery.

Preparation: Iliac vein stent placement is usually performed as an outpatient procedure under local anesthesia. The skin where the catheter will be inserted is sterilized and numbed.

Vein Access and Imaging: A thin catheter is inserted into a vein in the groin. Using real-time X-ray and intravascular ultrasound (IVUS) guidance, the narrowed or compressed section of the iliac vein is precisely identified.

Venoplasty and Stent Placement: A small balloon is gently inflated inside the vein (venoplasty) to open the narrowed area. A self-expanding mesh stent is then placed to hold the vein open, ensuring continuous blood flow. Once the stent is in place, the catheter is removed, and no stitches are required.

Blood Flow Restoration: The stent immediately improves circulation by relieving the venous obstruction. Blood is able to flow freely from the leg back to the heart, reducing swelling, pain, and other symptoms associated with impaired venous return.

Completion and Compression: After the procedure, a small bandage is applied to the access site. Most patients are encouraged to walk shortly after treatment to promote healthy blood flow. Compression stockings may be recommended to support recovery and reduce swelling.

Recovery and Results: Recovery after iliac vein stenting is typically quick and uncomplicated. Most patients return home the same day and can resume normal activities within 24–48 hours. Mild bruising or soreness at the access site may occur but usually resolves quickly.

Many patients experience immediate relief from symptoms such as swelling, heaviness, or pain in the legs. Over time, improved circulation helps prevent further complications like DVT or skin changes caused by chronic venous congestion.