Endovascular Treatment of Post-thrombotic Venous Ilio-Femoral Occlusions: Prognostic Value of Venous Lesions Caudal to the Common Femoral Vein

Menez, C.; Rodière, M.; Ghelfi, Julien; Seinturier, C.; Martinelli, T.; Imbert, B.; Perolat, Romain; Bouzat, Pierre; Blaise, S.; Carpentier, P.; Pernod, Gilles; Thony, F.

doi:10.1007/s00270-019-02214-9

Cited by 13 publications

(19 citation statements)

References 22 publications

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“…This difference could be explained by a systematic screening for signs of PE after each procedure in our study. On the other hand, as in our study, no PE was reported in several studies of recanalization-stenting in chronic obstruction (11,14,23,24).…”

Section: Procedure-related Complicationssupporting

confidence: 60%

“…The primary patency rate was 81.8% in our PMT group, this rate is described to vary from 64% to 96% (16)(17)(18)(19)(20)(21). For recanalization-stenting in chronic obstructions, the primary patency rate in this study was 78.4% and it ranged from 59% to 85% in others studies (10)(11)(12)14,(21)(22)(23)(24).…”

Section: Venous Patencymentioning

confidence: 41%

“…Thus, in these procedures, there is no more thrombus, which reduces the risk of embolization. The procedure failure rates ranged from 0 to 4% in studies on recanalization-stenting for chronic obstruction (10,14,24).…”

Section: Venous Patencymentioning

confidence: 99%

“…This is in opposition to chronically occluded veins which became fibrous and require more stents to restore sufficient lumen and correct flow. In the literature, there were also fewer stents placed in acute thrombolysis with a mean of 1.1 stent placed in 2 studies (19,20) compared to a mean of 3.4 and median of 3 in studies of recanalization-stenting in chronic venous obstruction (10,14,24).…”

Section: Stenting Datamentioning

confidence: 99%

“…In literature, the mean Villalta score ranged from 3.1 to 4 at 12 months in acute thrombolysis studies (9,18). For recanalizationstenting in chronic venous obstructions, the median Villalta score was from 3 to 5 at 3 or 6 months (14,24).…”

Section: Post Thrombotic Syndromementioning

confidence: 99%

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Pharmaco-mechanical catheter-directed thrombolysis versus recanalization and stenting for post thrombotic syndrome after lower limb deep vein thrombosis: a comparative study

Gautier¹,

Douane²,

David³

et al. 2022

Quant Imaging Med Surg

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Background: Endovenous interventional procedures can be used in addition to therapeutic anticoagulation to treat deep vein thrombosis in selected patients with proximal vein involvement (vena cava, iliac and/ or common femoral). The aim of this study was to compare venous patency and the post-thrombotic syndrome (PTS) in patients treated with pharmaco-mechanical catheter-directed thrombolysis (PMT) versus recanalization-stenting for PTS after a proximal lower limb deep vein thrombosis. Methods: Between January 2014 and December 2020, this retrospective and monocentric study included patients with very symptomatic acute iliofemoral deep vein thrombosis treated with PMT within 21 days after diagnosis (PMT group) and patients with PTS caused by chronic venous obstruction treated with recanalization and stenting (CRS group).Results: A total of 116 patients were included (26 PMT, 90 CRS). The rate of primary patency was 81.8% (18/22 patients) in the PMT group and 78.4% (69/88) in the CRS group (P>0.99). The rate of venous patency at the last follow-up was 76.9% (20/26) in the PMT group and 82.2% (74/90) in the CRS group (P=0.57).The median number of stents was 2 (range, 0-5) in the PMT group and 3 (range, 0-7) in the CRS group (P<0.001). The median stent length was 150 mm (range, 60-390 mm) and 280 mm (range, 120-820 mm), respectively (P<0.001). The median last Villalta score was 2 (range, 0-10) in the PMT group and 2 (range, 0-21) in the CRS group (P=0.55). The rate of venous claudication at the last follow-up was 19.0% (4/21) in the PMT group and 12.0% (10/83) in the CRS group (P=0.47).Conclusions: In this study, there was no difference in venous patency and in the rate and severity of PTS between the PMT and CRS groups. The number of stent and their length were significantly lower in the PMT group compared with the CRS group.

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Section: Procedure-related Complicationssupporting

confidence: 60%

Section: Venous Patencymentioning

confidence: 41%

Section: Venous Patencymentioning

confidence: 99%

Section: Stenting Datamentioning

confidence: 99%

Section: Post Thrombotic Syndromementioning

confidence: 99%

See 3 more Smart Citations

Pharmaco-mechanical catheter-directed thrombolysis versus recanalization and stenting for post thrombotic syndrome after lower limb deep vein thrombosis: a comparative study

Gautier¹,

Douane²,

David³

et al. 2022

Quant Imaging Med Surg

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Short- and Mid-Term Outcomes of Endovascular Stenting for the Treatment of Post-Thrombotic Syndrome due to Iliofemoral and Caval Occlusive Disease: A Multi-Centric Study from the French Society of Diagnostic and Interventional Cardiovascular Imaging (SFICV)

David

Thony

Giudice

et al. 2022

Cardiovasc Intervent Radiol

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Feasibility of Endovascular Recanalization in Post-Thrombotic Syndrome of Intentionally Interrupted Inferior Vena Cava

Monnin-Bares

Rodière

Finas

et al. 2022

Cardiovasc Intervent Radiol

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Surgical plication of inferior vena cava was commonly used until the 1980s for prevention of pulmonary embolism, associated with high incidence of postthrombotic syndrome (PTS). This study aims to assess the feasibility and safety of endovascular iliocaval recanalization after intentionally surgically interrupted inferior vena cava by external plicating clip. Materials and methodsEndovascular iliocaval recanalizations in relation to previous vena cava clip plication were extracted from the retrospective French multicentre database and further analysed. All procedure data were retrospectively reviewed, including technical aspects, technical success and outcomes (clinical response and ultrasound stent patency). ResultsFrom 2016 to 2018, 8 patients from 4 different centres underwent endovascular iliocaval recanalization for PTS in relation to previous caval interruption by clip. Recanalization of iliocaval occlusion through the clip and stent reconstruction were successfully performed for all of them without complications. After angioplasty, plicating clip was opened in U shape (n = 3) or ovalized without significant residual stenosis (n = 5). Patency of the inferior vena cava was maintained for all patients with a mean follow-up of almost two years after stenting. All patients clinically improved. ConclusionsIn this small cases series, endovascular recanalization and stenting of surgical vena cava clip plication seem technically feasible without morbidity. Restoration of blood flow through the iliocaval occlusion, using non-invasive endovascular technique, even as late treatment may be durable, with improvement of patient's venous symptoms.

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Endovascular Treatment of Post-thrombotic Venous Ilio-Femoral Occlusions: Prognostic Value of Venous Lesions Caudal to the Common Femoral Vein

Cited by 13 publications

References 22 publications

Pharmaco-mechanical catheter-directed thrombolysis versus recanalization and stenting for post thrombotic syndrome after lower limb deep vein thrombosis: a comparative study

Pharmaco-mechanical catheter-directed thrombolysis versus recanalization and stenting for post thrombotic syndrome after lower limb deep vein thrombosis: a comparative study

Short- and Mid-Term Outcomes of Endovascular Stenting for the Treatment of Post-Thrombotic Syndrome due to Iliofemoral and Caval Occlusive Disease: A Multi-Centric Study from the French Society of Diagnostic and Interventional Cardiovascular Imaging (SFICV)

Feasibility of Endovascular Recanalization in Post-Thrombotic Syndrome of Intentionally Interrupted Inferior Vena Cava

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