COMPARATIVE EVALUATION OF METHODS FOR ILIAC VENOUS OUTFLOW RESTORATION IN POST-THROMBOTIC DISEASE WITH VENOUS ULCERS
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Abstract:
Post-thrombotic disease (PTD) with iliac or iliofemoral venous occlusion represents one of the most severe forms of chronic venous insufficiency, characterized by pronounced venous hypertension and development of venous ulcers. The aim of this paper is to evaluate and compare clinical, hemodynamic, and long-term outcomes of Palma femoro-femoral bypass and endovascular interventions (recanalization and stenting) in patients with PTD and venous ulcers. A review of the literature demonstrates a clear advantage of endovascular reconstruction in terms of primary and secondary patency, speed of symptom regression, and ulcer-healing rates. Palma’s operation remains a valuable option in cases where endovascular recanalization is not feasible.
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