Assessing outcomes after thrombectomy with or without iliac vein stenting for young provoked DVT patients with iliac vein stenosis

被引:0
|
作者
Pu, Hongji [1 ,2 ]
Song, Jumin [3 ]
He, Zhijun [4 ]
Wang, Fuyin [5 ]
Hu, Jiateng [1 ,2 ]
Huang, Sheng [1 ,2 ,3 ]
Yin, Minyi [1 ,2 ,3 ]
Li, Weimin [1 ,2 ,3 ]
Liu, Xiaobing [1 ,2 ,3 ]
Lu, Xinwu [1 ,2 ,3 ]
Liu, Guang [1 ,2 ,3 ]
机构
[1] Shanghai Jiao Tong Univ, Shanghai Peoples Hosp 9, Sch Med, Dept Vasc Surg, 639 Zhizaoju Rd, Shanghai 200011, Peoples R China
[2] Shanghai Jiao Tong Univ, Sch Med, Vasc Ctr, Shanghai, Peoples R China
[3] Shanghai Jiao Tong Univ, Fengcheng Hosp, Shanghai Peoples Hosp 9, Sch Med,Dept Vasc Surg, Shanghai, Peoples R China
[4] Shanghai Univ Med & Hlth Sci, Affiliated Zhoupu Hosp, Dept Gen Surg, Shanghai, Peoples R China
[5] Zhejiang Univ, Putuo Hosp Zhejiang, Sir Run Run Shaw Hosp, Sch Med,Dept Orthoped, Zhoushan, Peoples R China
关键词
Deep venous thrombosis; Iliac vein stenosis; Thrombectomy; Venous stents; CATHETER-DIRECTED THROMBOLYSIS; THROMBOSIS; GUIDELINES; STATEMENT;
D O I
10.1186/s12959-023-00537-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundThis study aimed to assess the outcomes of thrombectomy with/without iliac vein stenting for young and transiently provoked DVT patients with iliac vein stenosis.MethodsThis is a retrospective analysis of a prospectively collected multicenter database. Acute, transiently provoked DVT patients between 18 and 45 years old with iliac vein stenosis were included. All patients underwent thrombectomy. Outcomes including the Villalta score, the VEINES-QOL score, and adverse events were evaluated.ResultsThe data of 522 patients were collected of whom 75 were included, 58 underwent thrombectomy alone (nonstenting group) and 17 underwent thrombectomy and stenting (stenting group). Within 6 months, the Villalta score of patients in stenting group is lower than that of patients in nonstenting group (6 mo: 0.73 & PLUSMN; 0.77 vs. 1.41 & PLUSMN; 0.56, p = .0004), and the VEINES-QOL score of stenting group is higher than that of nonstenting group (6 mo: 89.00 & PLUSMN; 2.94 vs. 87.47 & PLUSMN; 3.72, p = .2141). At the following follow-ups, the Villalta score (12 mo: 0.56 & PLUSMN; 0.49 vs. 0.60 & PLUSMN; 0.58, p = .8266) and VEINES-QOL score (12 mo: 88.36 & PLUSMN; 2.29 vs. 88.31 & PLUSMN; 3.36, p = .9604) between the two groups are similar.ConclusionThe stenting group had better efficacy within 6 months after intervention, while there was no significant difference in the symptom, signs, and quality of life between two groups after 6 months within a 2-year follow-up.Trial registrationThis study was registered in the Chinese Clinical Trial Registry (Registration Number: ChiCTR2200056073).
引用
收藏
页数:8
相关论文
共 50 条
  • [21] Pregnancy after iliac vein stenting for pelvic venous insufficiency
    Pappas, Peter J.
    Lakhanpal, Gaurav
    Soto, Theresa
    Deol, Zoe
    Kennedy, Richard
    Lakhanpal, Sanjiv
    JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS, 2022, 10 (02) : 342 - 347
  • [22] Iliac Vein Stenosis: Is the Data Strong Enough for Stenting in the Young Pelvic Venous Disorders (PeVD) Population?
    Kutsenko, Oleksandra
    McColgan, Yuko
    Salazar, Gloria
    TECHNIQUES IN VASCULAR AND INTERVENTIONAL RADIOLOGY, 2021, 24 (01)
  • [23] Case report: Iliac vein rupture during endovascular stenting in radiation-induced iliac venous stenosis
    Xiang, Qilin
    Tian, Jingbo
    Zhu, Xiaonin
    He, Chunshui
    Huang, Shang
    FRONTIERS IN ONCOLOGY, 2023, 13
  • [24] Impact of degree of stenosis in May-Thurner syndrome on iliac vein stenting
    Jayaraj, Arjun
    Buck, William
    Knight, Alexander
    Johns, Blake
    Raju, Seshadri
    JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS, 2019, 7 (02) : 195 - 202
  • [25] Coronary Artery Disease Does Not Influence Outcomes of Iliac Vein Stenting
    Cooke, Peter V.
    Bai, Halbert
    Vasan, Vikram
    Kim, Jinseo
    Collins, Lucas
    Dionne, Elyssa
    Cho, Logan D.
    Gonzalez, Christopher
    Kang, Yeju
    Tadros, Rami O.
    Ting, Windsor
    JOURNAL OF VASCULAR SURGERY, 2022, 75 (06) : E233 - E234
  • [26] Surgical Thrombectomy and Simultaneous Stenting for Phlegmasia Cerulea Dolens Caused by Iliac Vein Occlusion
    Zhang, Xicheng
    Chen, Zhaolei
    Sun, Yuan
    Xu, Miao
    ANNALS OF VASCULAR SURGERY, 2018, 51 : 239 - 245
  • [27] Impact of lower limb movements on iliac vein stenting in iliac vein compression syndrome patients: insights from computational modeling
    Lu, Jian
    Fan, Zhenmin
    Ye, Xia
    Deng, Xiaoyan
    Feng, Hai
    Liu, Mingyuan
    ACTA OF BIOENGINEERING AND BIOMECHANICS, 2024, 26 (01) : 23 - 35
  • [28] Stent implantation after iliac vein thrombectomy.: Indication, results
    Mickley, V
    Schwagierek, R
    Schütz, A
    Sunder-Plassmann, L
    ZENTRALBLATT FUR CHIRURGIE, 1999, 124 (01): : 12 - 17
  • [29] Doppler ultrasound and contrast-enhanced ultrasound in detection of stent stenosis after iliac vein stenting
    Hong Liu
    Jing Wang
    Yu Zhao
    Zheng Chen
    Dong Wang
    Miao Wei
    Fajin Lv
    Xiaoping Ye
    BMC Cardiovascular Disorders, 21
  • [30] Clinical Improvement after Iliac Vein Stenting Stratified by CEAP Class
    Saleem, Taimur
    ANNALS OF VASCULAR SURGERY, 2022, 86 : E2 - E2