Treatment with a metallic endovascular stent in a patient with iliac venous stenosis due to endometrial cancer

There are few cases, to our knowledge, that report the successful treatment of iliac venous stenosis due to gynecologic malignancies with the use of s elf-expanding metallic endovascular stents. Our patient, who had right lowe r limb edema, had iliac lymph node metastases which caused iliac vein steno sis by direct invasion from endometrial cancer. The patient was not conside red to be a good surgical candidate. A 10-mm diameter self-expanding metall ic endovascular stent was placed in the external iliac vein. The patient's symptoms of right lower limb edema improved dramatically, and she was disch arged at 3 weeks after stent placement. The patient had no further symptoms , with continued resolution of the right leg edema during the 10 months fol lowing stent placement, at which time she died from the primary disease. Th e treatment to this patient with a self-expanding metallic endovascular ste nt proved to be very efficacious and less stressful than direct venous reco nstruction or femorofemoral venous bypass grafting. In addition, this proce dure dramatically improved the patient's quality of life.