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Endophlebectomy of the common femoral vein and arteriovenous fistula creation as adjuncts to venous stenting for post‐thrombotic syndrome

Good results have been reported for angioplasty and stenting of post‐thrombotic lesions of the iliac and proximal femoral veins. If lesions at the origin of the superficial femoral and profunda veins are stented, the intraluminal synechiae can be pushed against the orifices of inflow vessels, potentially decreasing stent inflow. Surgical disobliteration of the common femoral vein (endophlebectomy) has been suggested to mitigate this problem. Because of a temporary increase in thrombogenicity, this procedure may be accompanied by arteriovenous fistula creation.