Effect of venous access site on postintervention stent thrombosis for nonthrombotic iliac vein stenting

Chait, Jesse; Alsheekh, Ahmad; Aurshina, Afsha; Haggerty, James; Ostrozhynskyy, Yuriy; Rajaee, Sareh; Hingorani, Anil; Ascher, Enrico

doi:10.1016/j.jvsv.2019.03.014

Cited by 9 publications

(9 citation statements)

References 22 publications

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“…Thus, stents have been proven to be both safe and effective, and they have become the first-line intervention in symptomatic MTS patients with the help of lower extremity venography [8,9] . It also has been proven that both the common femoral vein and the routine femoral vein can be safely used as the puncture sites for lower extremity venography [10] .…”

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confidence: 99%

Current Status and Prospect of Stent Placement for May-Thurner Syndrome

Liu

Lü

et al. 2021

CURR MED SCI

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Stent implantation has been proven to be safe and has become the first-line intervention for May-Thurner syndrome (MTS), with satisfactory mid-term patency rates and clinical outcomes. Recent research has demonstrated that catheter-directed thrombolysis is the preferred strategy when MTS is combined with deep vein thrombosis after self-expanding stent placement. However, the stent used for the venous system was developed based on the experience obtained in the treatment of arterial disease. Consequently, relatively common corresponding complications may come along later, which include stent displacement, deformation, and obstruction. Different measures such as adopting a stent with a larger diameter, improving stent flexibility, and increasing stent strength have been employed in order to prevent these complications. The ideal venous stent is presently being evaluated and will be introduced in detail in this review.

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confidence: 99%

Current Status and Prospect of Stent Placement for May-Thurner Syndrome

Liu

Lü

et al. 2021

CURR MED SCI

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“…This case also highlights technical challenges of endovascular therapy for occlusive disease of the deep venous system. The more common access for iliac vein stenting is the femoral vein, 12,13 or the popliteal vein, when access via the femoral vein is not favorable. 14 However, as demonstrated in this case, the RIJ can also be safely used when the lower extremity veins are totally occluded and is the preferred access site by some groups.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic and Technical Challenges in the Care of a Complex Patient With Post-Thrombotic Syndrome

Chan

Lee

Roy

et al. 2021

Vasc Endovascular Surg

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Iliofemoral deep vein thrombosis can lead to post-thrombotic syndrome, a costly and morbid condition. Endovascular treatment is increasingly used for symptomatic relief, but clinical success depends on accurate patient evaluation and selection. This case describes the diagnostic and technical challenges in the care of a complex patient with post-thrombotic syndrome following stroke and extensive deep vein thrombosis. It highlights the multi-disciplinary work-up for a patient with post-thrombotic syndrome presenting with confounding symptoms, as well as the importance of considering alternative access for successful lower extremity venous recanalization.

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“…In this study, by exploring the risk factors of thrombosis in AVFs of hemodialysis patients and carrying out multifactor binary logistic analysis, it was concluded that diabetes, systolic blood pressure reduction, hemoglobin, LDL-C, ultrafiltration rate, elevation of blood phosphorus, and platelet were the risk factors for thrombosis after AVF puncture in hemodialysis patients. It has been found that the proportion of thrombosis, whether it is initial or relapsed, is high in patients with diabetes mellitus because such disease can participate in the formation of internal fistula thrombosis by means of causing human vascular endothelial injury and vascular atherosclerosis [ 22 , 23 ] to be specific, poor long-term glycemic control, and increased glycosylation end products cause elevated levels of related inflammatory factors and then injure the tunica intima, which, combined with the disturbed lipid metabolism in the body, contribute to the progression of atherosclerosis and can also lead to the formation of fistula thrombosis [ 24 ]. It is a viewpoint that had been confirmed in the study by He Qing et al [ 25 ], suggesting that AVF thrombosis is related to the hypercoagulable state in patients.…”

Section: Discussionmentioning

confidence: 99%

Application Value and Relevance Analysis of the Risk Evaluation System for Arteriovenous Fistula Puncture in Thrombosis after Puncture

Sun

2021

Journal of Healthcare Engineering

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Objective. To analyze the application value and relevance of risk evaluation system for arteriovenous fistula (AVF) puncture in thrombosis after puncture. Methods. The clinical data of 180 patients treated with hemodialysis in the hemodialysis center of our hospital from November 2017 to November 2019 were retrospectively analyzed. After puncture, all patients received the digital subtraction angiography (DSA) examination, and based on whether they had AVF thrombosis, they were divided into the nonthrombosis group (n = 102) and thrombosis group (n = 78), and then, according to the parity of their admission numbers, the patients in the thrombosis group were subdivided into the study group (n = 39) and the reference group (n = 39), so as to analyze the risk factors of thrombosis after AVF puncture and the application value of the risk evaluation system for AVF puncture in preventing and treating thrombosis. Results. Compared with the reference group after intervention, the study group had significantly higher mean internal fistula blood flow volume ( P < 0.001) and significantly lower total incidence rate of vascular complications in fistulas ( P < 0.05); according to the multifactor binary logistic regression analysis, it was found that diabetes, systolic blood pressure reduction, hemoglobin, low-density lipoprotein cholesterol (LDL-C), ultrafiltration rate, and elevation of blood phosphorus and platelet levels were the risk factors of thrombosis after AVF puncture in hemodialysis patients. Conclusion. When risk factors of thrombosis are found in patients treated with hemodialysis, timely detection and intervention shall be applied in the early stage. Adopting the AVF puncture risk evaluation system has an extremely high application value in the clinic and is of important meaning in prolonging the service life of fistulas.

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Effect of venous access site on postintervention stent thrombosis for nonthrombotic iliac vein stenting

Cited by 9 publications

References 22 publications

Current Status and Prospect of Stent Placement for May-Thurner Syndrome

Current Status and Prospect of Stent Placement for May-Thurner Syndrome

Diagnostic and Technical Challenges in the Care of a Complex Patient With Post-Thrombotic Syndrome

Application Value and Relevance Analysis of the Risk Evaluation System for Arteriovenous Fistula Puncture in Thrombosis after Puncture

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