Long Term Follow Up, Causes for Re-intervention, and Consequences for Surveillance After Stenting for Proximal Deep Vein Obstruction

Bakas, Jay M; Moelker, Adriaan; Montfrans, Catherine van; Kruip, Marieke J.H.A.; Verhagen, Hence J.M.; Rijn, Marie Josee E van

doi:10.1016/j.ejvs.2023.06.033

Cited by 7 publications

(3 citation statements)

References 20 publications

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“…Patients with inflow disease may still benefit from venous stenting in terms of QoL, but selection is key as inflow is related to re-interventions for in-stent thrombosis. 11 Preventing stent occlusion is crucial since patients with occluded stents had poor QoL. To achieve this, it should be recommended to avoid venous stenting in high-risk patients prone to stent failure.…”

Section: Discussionmentioning

confidence: 99%

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Quality of Life after Venous Stenting for Post-thrombotic Syndrome and the Effect of Inflow Disease

Bakas,

van Montfrans,

Moelker

et al. 2023

Vasc Endovascular Surg

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Objective Patients with PTS experience an impaired quality of life (QoL). We aimed to study QoL in patients stented for post thrombotic syndrome (PTS) and analyze the influence of different parameters. Methods Patients stented for PTS after iliofemoral deep vein thrombosis were asked to complete the Chronic Venous Disease Quality of Life Questionnaire (CIVIQ-20) and the Short Form Health Survey (SF-36) in this cross-sectional study. All other data were collected retrospectively. Primary endpoints were median CIVIQ-20 and physical (PCS) and mental (MCS) component summary SF-36 scores. The influence of age, sex, and years between the procedure and completion of questionnaire were investigated using a multivariate linear regression model. Wilcoxon signed rank test compared the PCS and MCS with the normative. Effects of inflow from the deep femoral vein (DFV) and/or the femoral vein (FV) on QoL was analyzed in patients with patent stents. Results The response rate was 70.3% (n = 45/64). Time period (median) from stenting to questionnaire completion was 6.6 years (IQR: 8.0). Most stents were placed unilateral left-sided (73.3%). For patients with patent stents (n = 42) median CIVIQ-20 was 35.5 (IQR: 17.3), higher than the minimum of 20.0 ( P < .001). Median PCS of 44.7 (IQR: 14.2) was lower ( P < .001), and MCS of 55.9 (IQR: 7.1) higher ( P = .001) than the normative (50.0). Time since stenting and sex were not associated with QoL. Age was a significant predictor [standardized coefficient ß = .36, P = .04] for QoL using the CIVIQ-20, but not for the SF-36. Inflow disease did not impact QoL, but patients with occluded stents (n = 3) had poor functioning levels. Conclusion Quality of life is impaired after venous stenting for PTS, particularly physical functioning, among patients with an open stent, but was similar between patients with good and impaired inflow. Patients with a permanent stent occlusion had the lowest QoL.

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Section: Discussionmentioning

confidence: 99%

“…All patients underwent recent evaluation of venous stent patency, since it was prospectively recorded as a component of a larger study in which the current study was integrated. 11 The STROBE statement for observational studies was used to report the data. 12 …”

Section: Methodsmentioning

confidence: 99%

Quality of Life after Venous Stenting for Post-thrombotic Syndrome and the Effect of Inflow Disease

Bakas,

van Montfrans,

Moelker

et al. 2023

Vasc Endovascular Surg

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“…The current study prospectively recorded venous (stent) patency as a component of a larger study into which it was integrated. 7 Therefore, patients underwent recent assessment of venous (stent) patency with duplex ultrasound (DUS) or computed tomography (CT). Recent venous (stent) patency assessment was missing for one patient, but this patient has remained free of complaints and or re-intervention to date.…”

Section: Methodsmentioning

confidence: 99%