دورية أكاديمية
أعرض في EDS

Our early experience with iliofemoral vein stenting in patients with post-thrombotic syndrome.

التفاصيل البيبلوغرافية
العنوان: Our early experience with iliofemoral vein stenting in patients with post-thrombotic syndrome.
المؤلفون: Sarici IS; Department of General Surgery isamilsarici@hotmail.com., Yanar F; Department of General Surgery., Agcaoglu O; Department of General Surgery., Ucar A; Department of Radiology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey., Poyanli A; Department of Radiology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey., Cakir S; Department of Radiology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey., Aksoy SM; Department of General Surgery., Kurtoglu M; Department of General Surgery.
المصدر: Phlebology [Phlebology] 2014 Jun; Vol. 29 (5), pp. 298-303. Date of Electronic Publication: 2013 May 03.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Sage Country of Publication: England NLM ID: 9012921 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1758-1125 (Electronic) Linking ISSN: 02683555 NLM ISO Abbreviation: Phlebology Subsets: MEDLINE
أسماء مطبوعة: Publication: Oct. 2012- : London : Sage
Original Publication: [Houndmills, Basingstoke, Hampshire, UK] : Scientific & Medical, Macmillan Press,
مواضيع طبية MeSH: Femoral Vein*/physiopathology , Iliac Vein*/physiopathology , Stents*, Angioplasty, Balloon/*instrumentation , Postthrombotic Syndrome/*therapy, Adult ; Aged ; Angioplasty, Balloon/adverse effects ; Anticoagulants/therapeutic use ; Chronic Disease ; Female ; Humans ; Male ; Middle Aged ; Postthrombotic Syndrome/diagnosis ; Postthrombotic Syndrome/physiopathology ; Quality of Life ; Severity of Illness Index ; Time Factors ; Treatment Outcome ; Vascular Patency ; Young Adult
مستخلص: Introduction: Venous balloon dilation and stent therapy have been proposed as effective treatments for chronic iliofemoral thrombosis. In this study, we report our experience and describe the one-year outcome and efficacy of balloon angioplasty and stenting for the treatment of post-thrombotic syndrome (PTS) in iliofemoral vein segments.
Methods: From June 2011 to June 2012, 52 consecutive patients with chronic PTS (59 limbs; 75% women; median age 58 years; range: 23-76 years) referred to our unit for interventional assessment were included in the study. Treatment effects were assessed using Villalta scale, Venous Clinical Severity Score (VCSS) and Chronic Venous Insufficiency Questionnaire (CIVIQ)-20 for PTS, CEAP (clinical, aetiological, anatomical and pathological elements) grading and measurement of leg circumference, before and after intervention.
Results: Stenting was successfully accomplished in all patients. Coagulation abnormality was identified in 21 subjects (40.3%). CEAP grades were as follows: C3 in 19 patients, C4 in 24 patients, C5 in one patient and C6 in eight patients. According to Villalta scores, three patients were mild, seven patients were moderate and 42 patients were severe PTS. VCSS, Villalta scale and CIVIQ-20 showed a significant decrease in the severity of PTS signs and symptoms (P < 0.001). The calf and middle thigh circumferences decreased significantly on both sides (P < 0.001).
Conclusion: Treatment of iliac venous obstruction with balloon angioplasty and stenting appears to be a minimally invasive and safe therapeutic approach in patients with PTS offering quick symptomatic relief, good patency and minimal morbidity.
(© The Authors(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.)
فهرسة مساهمة: Keywords: Endovascular treatment; post-thrombotic syndrome; quality-of-life assessment
المشرفين على المادة: 0 (Anticoagulants)
تواريخ الأحداث: Date Created: 20130321 Date Completed: 20151224 Latest Revision: 20220317
رمز التحديث: 20231215
DOI: 10.1177/0268355513477641
PMID: 23512690
قاعدة البيانات: MEDLINE
الوصف
تدمد:1758-1125
DOI:10.1177/0268355513477641