Chronic venous outflow obstruction: An important cause of chronic venous disease
![Chronic venous outflow obstruction: An important cause of chronic venous disease](https://www.ccjm.org/content/ccjom/88/12/680/F1.large.jpg)
Chronic venous outflow obstruction is a significant cause of chronic venous disease and therefore chronic morbidity. When conservative measures fail, intervention through deep venous reconstructive techniques should be considered. Referral should be considered in all patients with features of chronic venous disease that are life-affecting. Imaging relies primarily on duplex ultrasonography, supplemented by computed tomographic and magnetic resonance venography, and intraoperatively by intravascular ultrasonography. Intervention is primary endovenous, using angioplasty and stenting. Open surgical procedures are used in very select patients.
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Chronic venous insufficiency
![](https://www.researchgate.net/publication/332965874/figure/fig5/AS:772149082083330@1561106095618/a-Phlebography-shows-post-thrombotic-obstruction-of-the-left-iliac-veins-with-collateral.png)
a, Phlebography shows post-thrombotic obstruction of the left
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Graduated compression stockings
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Percutaneous transvenous stent implantation to external iliac vein
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Chung Sim Lim's research works Royal Free London NHS Foundation
![](https://www.researchgate.net/publication/318794693/figure/fig1/AS:614282286862346@1523467718066/Suggested-classification-of-hepatic-venous-outflow-obstruction.png)
Suggested classification of hepatic venous outflow obstruction.
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Diagnosis of Iliac Vein Obstruction With Duplex Ultrasound - Endovascular Today
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Hepatic Imaging in Neonates and Young Infants: State of the Art
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Symptoms of Venous Insufficiency - Delaware Vein Center
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Chronic Venous Insufficiency - Venous Care