Iliac Vein Stenting in Hyderabad
Chronic compression or narrowing of the iliac vein (May-Thurner syndrome and post-thrombotic changes) causes disabling leg swelling, pain and ulcers that never heal with compression alone. Dr. Pritee Sharma performs venous stenting — a pinhole, day-care procedure — that restores outflow and transforms long-standing symptoms within days.
The left common iliac vein is naturally compressed by the crossing right common iliac artery. In many patients (especially women 20–50 years old) this compression causes venous hypertension, DVT, chronic swelling and skin damage.
Post-thrombotic syndrome after inadequately treated DVT causes similar outflow obstruction on either side.
Under local anaesthesia, an intravascular ultrasound (IVUS) is used to precisely measure the stenosis, and a dedicated venous stent (Wallstent, Venovo, Abre) is deployed to hold the vein open.
Take the next step toward healthier vessels
Book a consultation with Dr. Pritee Sharma at Renova Century Hospital, Banjara Hills.
Symptoms to watch for
- Chronic swelling of one leg, worse by evening
- Aching, heaviness or bursting pain on walking
- Recurrent varicose veins despite prior vein surgery
- Non-healing venous ulcer near the ankle
- Prior DVT with persistent symptoms after 6 months
Common causes & risk factors
- May-Thurner syndrome — arterial compression of iliac vein
- Post-thrombotic scarring after DVT
- Pelvic radiation or surgery
- Retroperitoneal fibrosis
- External tumour compression
How Dr. Pritee Sharma treats this condition
Intravascular Ultrasound (IVUS)
Gold-standard imaging inside the vein to accurately measure the stenosis — venography alone underestimates severity.
Balloon Venoplasty
High-pressure balloon opens the compressed segment before stenting.
Dedicated Venous Stent
Braided or laser-cut nitinol venous stents designed for the compressive forces at the iliac vein.
Post-Thrombotic Recanalisation
Crossing chronically occluded iliac veins with wire-based techniques and long-segment stenting.
Adjunctive Vein Ablation
Combined with EVLA/RFA of refluxing superficial veins for complete correction of chronic venous disease.
Why early care matters
- Dramatic relief of leg swelling and heaviness
- Rapid healing of venous ulcers
- Prevents recurrent DVT on the affected side
- Reduces varicose vein recurrence after prior surgery
- Long-term stent patency exceeds 85% at 5 years
Why choose Dr. Pritee Sharma
- IVUS-guided precision at Renova Century Hospital
- Full inventory of dedicated venous stents
- Integrated vein clinic — reflux + outflow addressed together
- One of Hyderabad's most experienced venous outflow programmes
Frequently asked questions
Persistent one-sided leg swelling — especially after DVT, or in a young woman with heavy varicose veins on the left — should prompt duplex ultrasound and CT/MR venography.
No. Venous stents are larger, more flexible and designed to resist compression. Techniques and anticoagulation regimens are different.
Dedicated venous stents have 85–90% patency at 5 years when placed under IVUS guidance and combined with appropriate anticoagulation.
Stockings are recommended for at least 6–12 months to support residual chronic venous changes. Many patients can eventually stop.
What to expect during recovery
- Day-care under local anaesthesia
- Walk within 2–4 hours, discharge same day
- Antiplatelet + anticoagulant for 3–6 months
- Class-II compression stocking on the treated leg
- Duplex follow-up at 1, 6 and 12 months
Why this matters in Hyderabad
- Hyderabad's IT, BPO and corporate workforce spend 9–12 hours seated daily — a leading driver of varicose veins, DVT and venous reflux in patients under 45.
- High prevalence of diabetes across Telangana (over 14% of urban adults) makes diabetic foot disease and PAD some of the most common limb-threatening conditions seen at Renova Century Hospital.
- Hot, humid summers and prolonged standing in retail, teaching and healthcare further increase the burden of chronic venous insufficiency in Hyderabad and Secunderabad.
- Patients travel to Banjara Hills for vascular care from across Telangana, Andhra Pradesh, Karnataka and Maharashtra — Dr. Sharma's team coordinates out-station travel, imaging review and cashless insurance.
Dr. Pritee Sharma — Vascular & Endovascular Surgeon
21+ years of dedicated vascular and endovascular surgical experience.
- MBBS — Topiwala National Medical College, Mumbai
- MS (General Surgery)
- DNB Peripheral Vascular Surgery — Gold Medalist (awarded by the Hon'ble Ex Vice President of India)
- Fellowship in Endovascular Surgery
- Head of Department, Vascular & Endovascular Surgery — Renova Century Hospital, Banjara Hills, Hyderabad
- Former Consultant — Army Hospital Research & Referral, Delhi
- Member — Vascular Society of India (VSI)
- Member — Indian Association of Cardiovascular & Thoracic Surgeons
Concerned about venous stenting (iliac vein)?
Get a personalised assessment and treatment plan from Dr. Pritee Sharma.