ENDOVENOUS MANAGEMENT OF CHRONIC VENOUS INSUFFICIENCY
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48750/acv.226 |
Resumo: | Purpose: The e!cacy of endovenous stenting for ileofemoral stenosis or occlusion in post-thrombotic syndrome (PTS) is gaining momentum with studies reporting improved clinical outcome. This study analyses the outcomes of venous stenting in PTS for patients in whom conservative and/or prior surgical treatment modalities had failed. Materials and Method: Operative and clinical records were retrospectively analysed in all patients who had endovenous stenting for PTS. Baseline demographics, procedural details and symptom severity based on CEAP and Villalta scores were collected. Stent patency was assessed by follow-up duplex ultrasound. Clinical follow-up included Villalta score and a subjective assessment of improvement. Results: Fifteen patients with a mean Villalta score of 11 were treated. Two were lost to follow-up. Technical success was 100% with no major complication. Two minor complications (self-limiting bleeding) occurred. At follow-up, stent patency, by Duplex ultrasound, was 71.4% at 13 (range 5–54) weeks. 53.8% (n=7) of patients reported subjective improvement in their symptoms, 30.8% (n=4) of patients reporting no improvement and 15.4% (n=2) of patients reporting worsening of their symptoms. The mean Villalta score at follow-up was 8.5; a signi"cant reduction (p=0.049) from the pre-procedural score. Conclusion: Endovenous stenting for PTS can be performed safely and with a high technical success rate. Patency rates are reasonable and are associated with a signi"cant reduction in Villalta scores. |
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ENDOVENOUS MANAGEMENT OF CHRONIC VENOUS INSUFFICIENCYAngioplastyDeep vein thrombosisIliac vein compression syndromeStentsVenous insuficiencyPeripheral vascular diseasePurpose: The e!cacy of endovenous stenting for ileofemoral stenosis or occlusion in post-thrombotic syndrome (PTS) is gaining momentum with studies reporting improved clinical outcome. This study analyses the outcomes of venous stenting in PTS for patients in whom conservative and/or prior surgical treatment modalities had failed. Materials and Method: Operative and clinical records were retrospectively analysed in all patients who had endovenous stenting for PTS. Baseline demographics, procedural details and symptom severity based on CEAP and Villalta scores were collected. Stent patency was assessed by follow-up duplex ultrasound. Clinical follow-up included Villalta score and a subjective assessment of improvement. Results: Fifteen patients with a mean Villalta score of 11 were treated. Two were lost to follow-up. Technical success was 100% with no major complication. Two minor complications (self-limiting bleeding) occurred. At follow-up, stent patency, by Duplex ultrasound, was 71.4% at 13 (range 5–54) weeks. 53.8% (n=7) of patients reported subjective improvement in their symptoms, 30.8% (n=4) of patients reporting no improvement and 15.4% (n=2) of patients reporting worsening of their symptoms. The mean Villalta score at follow-up was 8.5; a signi"cant reduction (p=0.049) from the pre-procedural score. Conclusion: Endovenous stenting for PTS can be performed safely and with a high technical success rate. Patency rates are reasonable and are associated with a signi"cant reduction in Villalta scores.Sociedade Portuguesa de Angiologia e Cirurgia Vascular2020-02-05T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48750/acv.226oai:ojs.acvjournal.com:article/226Angiologia e Cirurgia Vascular; Vol. 15 No. 4 (2019): December; 226-231Angiologia e Cirurgia Vascular; Vol. 15 N.º 4 (2019): Dezembro; 226-2312183-00961646-706Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://acvjournal.com/index.php/acv/article/view/226https://doi.org/10.48750/acv.226http://acvjournal.com/index.php/acv/article/view/226/157Copyright (c) 2020 Angiologia e Cirurgia Vascularinfo:eu-repo/semantics/openAccessHall, Thomas C.Braithwaite, Bruce D.O'neill, RichardHabib, Said2022-05-23T15:10:05Zoai:ojs.acvjournal.com:article/226Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T14:57:36.188390Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
ENDOVENOUS MANAGEMENT OF CHRONIC VENOUS INSUFFICIENCY |
title |
ENDOVENOUS MANAGEMENT OF CHRONIC VENOUS INSUFFICIENCY |
spellingShingle |
ENDOVENOUS MANAGEMENT OF CHRONIC VENOUS INSUFFICIENCY Hall, Thomas C. Angioplasty Deep vein thrombosis Iliac vein compression syndrome Stents Venous insuficiency Peripheral vascular disease |
title_short |
ENDOVENOUS MANAGEMENT OF CHRONIC VENOUS INSUFFICIENCY |
title_full |
ENDOVENOUS MANAGEMENT OF CHRONIC VENOUS INSUFFICIENCY |
title_fullStr |
ENDOVENOUS MANAGEMENT OF CHRONIC VENOUS INSUFFICIENCY |
title_full_unstemmed |
ENDOVENOUS MANAGEMENT OF CHRONIC VENOUS INSUFFICIENCY |
title_sort |
ENDOVENOUS MANAGEMENT OF CHRONIC VENOUS INSUFFICIENCY |
author |
Hall, Thomas C. |
author_facet |
Hall, Thomas C. Braithwaite, Bruce D. O'neill, Richard Habib, Said |
author_role |
author |
author2 |
Braithwaite, Bruce D. O'neill, Richard Habib, Said |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Hall, Thomas C. Braithwaite, Bruce D. O'neill, Richard Habib, Said |
dc.subject.por.fl_str_mv |
Angioplasty Deep vein thrombosis Iliac vein compression syndrome Stents Venous insuficiency Peripheral vascular disease |
topic |
Angioplasty Deep vein thrombosis Iliac vein compression syndrome Stents Venous insuficiency Peripheral vascular disease |
description |
Purpose: The e!cacy of endovenous stenting for ileofemoral stenosis or occlusion in post-thrombotic syndrome (PTS) is gaining momentum with studies reporting improved clinical outcome. This study analyses the outcomes of venous stenting in PTS for patients in whom conservative and/or prior surgical treatment modalities had failed. Materials and Method: Operative and clinical records were retrospectively analysed in all patients who had endovenous stenting for PTS. Baseline demographics, procedural details and symptom severity based on CEAP and Villalta scores were collected. Stent patency was assessed by follow-up duplex ultrasound. Clinical follow-up included Villalta score and a subjective assessment of improvement. Results: Fifteen patients with a mean Villalta score of 11 were treated. Two were lost to follow-up. Technical success was 100% with no major complication. Two minor complications (self-limiting bleeding) occurred. At follow-up, stent patency, by Duplex ultrasound, was 71.4% at 13 (range 5–54) weeks. 53.8% (n=7) of patients reported subjective improvement in their symptoms, 30.8% (n=4) of patients reporting no improvement and 15.4% (n=2) of patients reporting worsening of their symptoms. The mean Villalta score at follow-up was 8.5; a signi"cant reduction (p=0.049) from the pre-procedural score. Conclusion: Endovenous stenting for PTS can be performed safely and with a high technical success rate. Patency rates are reasonable and are associated with a signi"cant reduction in Villalta scores. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-02-05T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48750/acv.226 oai:ojs.acvjournal.com:article/226 |
url |
https://doi.org/10.48750/acv.226 |
identifier_str_mv |
oai:ojs.acvjournal.com:article/226 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://acvjournal.com/index.php/acv/article/view/226 https://doi.org/10.48750/acv.226 http://acvjournal.com/index.php/acv/article/view/226/157 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Angiologia e Cirurgia Vascular info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Angiologia e Cirurgia Vascular |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
dc.source.none.fl_str_mv |
Angiologia e Cirurgia Vascular; Vol. 15 No. 4 (2019): December; 226-231 Angiologia e Cirurgia Vascular; Vol. 15 N.º 4 (2019): Dezembro; 226-231 2183-0096 1646-706X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799129849643663360 |