Successful Iliac Vein and Inferior Vena Cava Stenting Ameliorates Venous Claudication and Improves Venous Outflow, Calf Muscle Pump Function, and Clinical Status in Post-Thrombotic Syndrome

Delis, Konstantinos T.; Bjarnason, Haraldur; Wennberg, Paul W.; Rooke, Thom W.; Gloviczki, Péter

doi:10.1097/01.sla.0000245550.36159.93

Cited by 99 publications

(70 citation statements)

References 45 publications

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“…The observation that 45% of patients with ipsilateral recurrence developed PTS is in line with previous published findings by other authors. 16,31 Overall, we only identified a small group of patients with a strong predisposition for PTS; they developed PTS regardless of adequate elastic compression therapy. For the small group of patients who develop PTS, more effective treatment options should therefore be established.…”

Section: Discussionmentioning

confidence: 95%

Individually tailored duration of elastic compression therapy in relation to incidence of the postthrombotic syndrome

Cate‐Hoek

Cate

Tordoir

et al. 2010

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 95%

Individually tailored duration of elastic compression therapy in relation to incidence of the postthrombotic syndrome

Cate‐Hoek

Cate

Tordoir

et al. 2010

Journal of Vascular Surgery

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“…6 Symptomatic patients diagnosed with iliocaval outflow obstruction (iliocaval venous obstruction [ICVO]) may be treated with percutaneous stent insertion resulting in relief of iliac obstruction. Raju and Neglen 6 and others 7,8 have documented improvement in venous hemodynamics, patient symptoms, and quality of life after stenting for this condition.…”

mentioning

confidence: 96%

Incidence of and risk factors for iliocaval venous obstruction in patients with active or healed venous leg ulcers

Marston

Fish

Unger

et al. 2011

Journal of Vascular Surgery

103

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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

211

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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Successful Iliac Vein and Inferior Vena Cava Stenting Ameliorates Venous Claudication and Improves Venous Outflow, Calf Muscle Pump Function, and Clinical Status in Post-Thrombotic Syndrome

Cited by 99 publications

References 45 publications

Individually tailored duration of elastic compression therapy in relation to incidence of the postthrombotic syndrome

Individually tailored duration of elastic compression therapy in relation to incidence of the postthrombotic syndrome

Incidence of and risk factors for iliocaval venous obstruction in patients with active or healed venous leg ulcers

Safety and Effectiveness of Stent Placement for Iliofemoral Venous Outflow Obstruction

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