Catheter-directed Thrombolysis and Stenting in the Treatment of Iliac Vein Compression Syndrome with Acute Iliofemoral Deep Vein Thrombosis: Outcome and Follow-up

Xue, Guanhua; Huang, Xiaozhong; Ye, Meng; Liang, Wei; Zhang, Hao; Zhang, Jiwei; Zhang, Bai-gen

doi:10.1016/j.avsg.2013.11.012

Cited by 61 publications

(59 citation statements)

References 16 publications

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“…After screening 793 studies for eligibility, 37 studies reporting 45 treatment effects (nonthrombotic, [12][13][14][15][16][17][18][19] AT, 13,18,[20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] and CPT 12,14,17,30,33,34,[37][38][39][40][41][42][43][44][45][46][47][48] ) from 2869 unique patients (nonthrombotic, 1122; AT, 629; and CPT, 1118) were included in the meta-analysis. The most common reasons for study exclusion were lack of relevant stent placement outcomes (19 studies), kin relationships (18 studies), sample size <10 (16 studies), combined outcome reporting in nonthrombotic and thrombotic patients (8 studies), and combined outcome reporting in AT and CPT patients (6 studies).…”

Section: Study Selectionmentioning

confidence: 99%

Safety and Effectiveness of Stent Placement for Iliofemoral Venous Outflow Obstruction

Razavi

Jaff

Miller

2015

Circ: Cardiovascular Interventions

209

117

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Background-Endovenous recanalization of iliofemoral stenosis or occlusion with angioplasty and stent placement has been increasingly used to maintain long-term venous patency in patients with iliofemoral venous outflow obstruction. The purpose of this systematic review and meta-analysis was to determine safety and effectiveness of venous stent placement in patients with iliofemoral venous outflow obstruction. Methods and Results-We searched MEDLINE and EMBASE for studies evaluating safety or effectiveness of stent placement in patients with iliofemoral venous outflow obstruction. Data were extracted by disease pathogenesis: nonthrombotic, acute thrombotic, or chronic post-thrombotic. Main outcomes included technical success, periprocedural complications, symptom relief at final follow-up, and primary/secondary patency through 5 years. A total of 37 studies reporting 45 treatment effects (nonthrombotic, 8; acute thrombotic, 19; and chronic post-thrombotic, 18) from 2869 patients (nonthrombotic, 1122; acute thrombotic, 629; and chronic post-thrombotic, 1118) were included. Technical success rates were comparable among groups, ranging from 94% to 96%. Complication rates ranged from 0.3% to 1.1% among groups for major bleeding, from 0.2% to 0.9% for pulmonary embolism, from 0.1% to 0.7% for periprocedural mortality, and from 1.0% to 6.8% for early thrombosis. Patient symptom relief data were reported inconsistently. At 1 year, primary and secondary patency were 96% and 99% for nonthrombotic, 87% and 89% for acute thrombotic, and 79% and 94% for chronic post-thrombotic. Conclusions-Stent Methods Literature SearchThis study was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses. 9 We searched MEDLINE and EMBASE for randomized or nonrandomized controlled studies and prospective or retrospective case series of stent placement for treatment of iliofemoral venous outflow obstruction by using a combination of relevant keywords. The details of the MEDLINE search strategy are listed in Table I in the Data Supplement. The syntax for EMBASE was similar, but adapted as necessary. In addition, manual searches were conducted using the Directory of Open Access Journals, Google Scholar, and the reference lists of included papers and relevant meta-analyses. No date restrictions were applied to the searches. The final search was conducted March 15, 2015. Study SelectionTwo researchers independently selected studies for inclusion in the review. Disagreements were resolved by consensus. Titles and abstracts were initially screened to exclude review articles, commentaries, letters, case reports, and obviously irrelevant studies. Full texts of the remaining articles were retrieved and reviewed. Main inclusion criteria included studies with (1) primary diagnosis of obstructive lesions of the common femoral vein, external iliac vein, and the common iliac vein, (2) stent placement in the common femoral vein, external iliac vein, common iliac vein, and the inferior vena cava, (3) outcomes reporte...

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Section: Study Selectionmentioning

confidence: 99%

Safety and Effectiveness of Stent Placement for Iliofemoral Venous Outflow Obstruction

Razavi

Jaff

Miller

2015

Circ: Cardiovascular Interventions

209

117

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“…Mortality. Two studies [19,35] reported mortality not related to the thrombolytic therapy, 3 studies [18,25,31] reported no mortality during follow-up, and 3 studies [28][29][30] reported Table 2 Characteristics of the included studies in the meta-analysis. …”

Section: Pementioning

confidence: 99%

“…Complications. Fourteen case series studies [19-24, 26-29,32-35] reported complication outcomes posttreatment, in which 3 studies [20,24,35] and 2 studies [22,34] reported no events for major and minor complications, respectively. The complication rate ranged from 6% to 25% after CDT.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Eighteen case series articles including 8 prospective [18][19][20]23,24,26,28,31] and 10 retrospective studies [21,22,25,27,29,30,[32][33][34][35] and 6 comparison articles including 3 RCTs [38][39][40] and 3 nonrandomized comparative articles [36,37,41] were all published in peer-reviewed journals. Except for 1 study [30] that did not describe the method of DVT diagnosis, the others confirmed the presence of DVT using Duplex ultrasound or venography.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…After applying the inclusion and exclusion criteria, 24 articles were considered for our metaanalysis, among which 18 case series articles [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] involving 1538 patients and another 6 were articles [36][37][38][39][40][41] comparing CDT with anticoagulation involving 7619 patients fulfilled the eligibility criteria. The data abstraction process is shown in Fig.…”

Section: Wang Et Al Medicine (2017) 96:35mentioning

confidence: 99%

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Catheter-directed Thrombolysis and Stenting in the Treatment of Iliac Vein Compression Syndrome with Acute Iliofemoral Deep Vein Thrombosis: Outcome and Follow-up

Cited by 61 publications

References 16 publications

Safety and Effectiveness of Stent Placement for Iliofemoral Venous Outflow Obstruction

Safety and Effectiveness of Stent Placement for Iliofemoral Venous Outflow Obstruction

Safety of Catheter-Directed Thrombolysis for the Treatment of Acute Lower Extremity Deep Vein Thrombosis: A Systematic Review and Meta-Analysis

Studies on the relationship between perforating vein insufficiency and iliac compression syndrome

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