Iliac Vein Compression Syndrome

Iliac Vein Compression Syndrome and Pelvic Venous Insufficiency

10-15% of patients may not realize as much relief from their signs or symptoms of venous insufficiency as they hoped for or expected. Additionally, 10% of our new patients may have had previous vein procedures such as vein stripping or endovenous vein closures when they present to our practice for second opinion. Ultrasound evaluation of these patients often reveals only short segments of leaking veins which are not significant enough to account for their persistent or recurrent vein related symptoms or clinical signs. A potential cause of recurrent vein problems after previous procedures which has received much attention in the vein specialty world is iliac vein compression syndrome (IVCS). IVCS may occur as the result of arterial compression of one of the main outflow (iliac) veins, leading to increased pelvic and lower extremity venous pressure. This increased pressure can lead to failure of previous vein treatments such as vein stripping or the more current endovenous ablation techniques. Since the iliac veins are deep in the pelvis, they are not easily examined with traditional techniques such as transcutaneous pelvic ultrasound, CT scan or Magnetic Resonance Imaging. However, intravascular ultrasound (IVUS), a minimally invasive, catheter based ultrasound technique, allows direct examination of the more proximal pelvic veins from within the actual blood vessels.

Signs & Symptoms

  • Large varicose veins from the groin, vulva, or gluteal fold
  • Leg swelling (one or both legs), one leg might be larger than the other.
  • Leg Ulcers or stasis dermatitis.
  • Pain in pelvis & abdomen with squatting or crouching.
  • Painful intercourse (during or after) and increased pain with menstruation
  • Pain in buttock, posterior thigh or knee with prolonged sitting or standing.

Vein Disease

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Patient Testimonials

  • Lori N

    "I recommend Dr. Magnant and his practice to everyone I meet who has any problems with their legs because they are the VERY BEST! When you find the best, you don't need the rest!"

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  • Cathy B

    "I had two procedures done on my legs. I was nervous when I went in for the first one, but everyone took great care of me and calmed me down quickly. Dr. Magnant talked to me through the entire procedure and made me feel as if he truly cared about me as a patient. I highly recommend this practice."

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  • Ed C

    "Thanks Dr. Magnant for making me feel great. Continued success to you and your great team."

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  • Kelsey F.

    “I can’t say enough good things. Dr. Magnant is not only the best at what he does, but the compassion that he and his staff showed through my procedures has made this process so much more bearable.”

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  • Carole L.

    “Excellent provider, professional and personable. Explains the procedure, step by step, eliminating all concerns. Also, great staff. Caring and efficient.”

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  • Alex H.

    “I was so glad I went to Vein Specialists. After the ultrasound process, I received a thorough review of the results from Dr. Magnant and finally had an answer to why my legs were so sore! I look forward to getting the problem fixed in the near future by Dr. Magnant.”

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  • Joyce Z.

    “I had an excellent experience with Dr. Magnant and his wonderful staff at the Bonita Springs office.”

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  • Cynthia W.

    “I had a good experience at Vein Specialist in Fort Myers. The staff is so caring, compassionate and explained my procedures so I could understand it. Keep up the good work. It matters.”

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  • Kevin L.

    “The entire patient experience has been top notch! Dr. Magnant and his staff provided unparalleled service and care for my venous issues. I would highly recommend him and his team to anyone looking for treatment.”

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  • Jenn F.

    “Can’t say enough good things about this office. From my very first appointment, all staff have been extremely helpful and knowledgeable.”

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  • Melanie C.

    “Dr. Magnant and his team at Vein Specialists are top notch! They go out of their way to make you comfortable … Dr. Magnant is very caring and really good at his job. If you have a vein issue, see him!”

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  • Carissa R

    "I love this place and its doctor! They are kind, patient, knowledgeable and informative of everything. I'm glad I chose Vein Specialists for my varicose vein issues!"

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  • Karen C

    "Dr Magnant and his staff are the greatest professionals in a medical office. They take time with you and make sure all your questions are answered. Dr. Magnant makes your procedure go so smooth and pain free."

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Why Choose Vein Specialists?

Vein Specialists’ state-of-the-art facility is designed to ensure the highest quality of care and best clinical experience possible for patients. Dr. Magnant has embraced three key concepts to build a successful practice: ability, affability, and availability.

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  • We are the original IAC Accredited Vein Centers in Southwest Florida.
  • Dr. Joseph Magnant is a Board Certified Vascular Surgeon.
  • We have IAC Accredited Vascular Labs with full-time Registered Vascular Sonographers.
  • We are a Medtronic Center of Excellence for physician training.
  • We offer the latest technology in vein treatments including: ClosureFAST, LASER, VenaSeal, Varithena, Intravascular Ultrasound (IVUS), and Iliac Vein Stenting.