Presenter: Daniel Santana-Shoen, Ross Currier 

Hospital: Mayo Clinic, Arizona, USA

Summary

A 41-year-old female with refractory pelvic venous insufficiency underwent bilateral common iliac vein stenting ("Kissing Stents"). Symptoms resolved postoperatively, with sustained improvement at 11-month follow-up. This case validates stent-based interventions for complex PVI.

Introduction

Pelvic venous insufficiency (PVI) causes chronic pain and is often refractory to conservative therapies. Stent placement restores venous outflow, yet bilateral iliac vein involvement poses technical challenges.

Case analysis

Clinical Profile: 20-year leg pain; imaging showed bilateral iliac vein stenosis (left 50.6%, right 32.8%).

Procedure: Simultaneous ABRE stent deployment (right 16×150 mm, left 16×120 mm) under general anesthesia.

Outcome: Pain resolved at 2 weeks; weight-bearing resumed by 9 months.

Conclusion

"Kissing Stents" effectively restore bilateral iliac vein patency in refractory PVI. Long-term antiplatelet therapy (e.g., aspirin) is critical for stent durability.