Iliac compression syndrome is usually diagnosed during the third and f
ourth decades of life when the patient has iliofemoral deep vein throm
bosis. Catheter-directed thrombolytic therapy is an accepted method of
treatment for iliofemoral deep vein thrombosis, which has been report
ed to afford greater success with clot dissolution than with system th
erapy. Although this method is not new, this is the first case, to our
knowledge, reporting successful treatment of computerized tomographic
ally demonstrated iliac compression syndrome with stent placement afte
r lysis and insufficient response to balloon angioplasty.