Conclusion
Femoral vein access for interventional procedures can be associated with
serious complications in patients with May-Thurner syndrome regarding
their complex abdominopelvic collateral vessels. The correct direction
of the wire must be achieved with precision. Back pain with concomitant
hematuria during the procedure can be a result of renal parenchymal
perforation, which is life-threatening and mandates emergent treatment.
We illustrated this rare complication can be treated with iliac
venoplasty, nevertheless, open surgery should be considered in the case
of resistant ongoing hematuria.
Data availability statement: The data supporting this study’s
findings are available from the corresponding author upon reasonable
request.
Acknowledgments: Our special thanks go to the Tehran Heart
Center catheterization laboratory staff.
Conflict of Interest: None
Funding Declaration: The present report received no funding
support.