Bifurcational stenting of iliocaval obstruction in a patient with post-thrombotic syndrome and an implanted cava filter

A clinical observation of a 42-year-old female patient suffering from post-thrombotic syndrome and obstructive lesions of the iliocaval segment in combination with a previously implanted cava filter after a tibial fracture complicated by deep vein thrombosis of the lower extremities in 2011 is presented. Despite prolonged treatment, no positive result in the patient’s condition was achieved. The prolonged lack of effect from conservative therapy gradually led to the progression of disease severity and a decrease in the patient’s quality of life. In January 2021, bifurcational venous stenting using the “double-barrel” technique was performed at the N.I. Pirogov National Medical and Surgical Center. Follow-up examinations at 6 and 12 months confirmed stent patency with significant clinical improvement in the patient.