First Experience of Performing Hybrid Operations in Chronic Venous Obstructions of Iliofemoral Segments in Patients With Postthrombotic Syndrome

Pokrovsky, Anatoly V.; Ignatiev, I. M.; Gradusov, E G

doi:10.1177/1538574417717609

Cited by 7 publications

(6 citation statements)

References 20 publications

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“…Finally, an additional method used to preserve flow within stented iliocaval venous segments includes the surgical creation of an arteriovenous fistula to maintain high flow within the stents to prevent rethrombosis. [11]…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Endovascular Sapheno‑Femoral Bypass for Treatment of Chronic Iliac Vein Stent Occlusion

Ahmed

Loanzon

Arslan

2018

The Arab Journal of Interventional Radiology

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We report a case of a 45-year-old female with a history of chronic iliac vein and inferior vena cava (IVC) occlusion, who presented with diffuse bilateral lower limb edema and pain secondary to severe postthrombotic syndrome. Computed tomography and digital subtraction angiography demonstrated reocclusion in the patient's previously placed iliofemoral and IVC stents. Recanalization was achieved with a percutaneous endovascular bypass approach after unsuccessful attempts using standard and other advanced endovascular techniques including sharp needle and radiofrequency wire recanalization.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Endovascular Sapheno‑Femoral Bypass for Treatment of Chronic Iliac Vein Stent Occlusion

Ahmed

Loanzon

Arslan

2018

The Arab Journal of Interventional Radiology

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“…Hybrid operations (open + endovascular) were performed in 13 patients, with their results published previously. 9…”

Section: Methodsmentioning

confidence: 99%

“…Hybrid operations (open þ endovascular) were performed in 13 patients, with their results published previously. 9 The severity of chronic venous insufficiency was evaluated by Venous Clinical Severity Score (VCSS) before treatment and in long-term period after endovascular intervention. Preoperative patient characteristics are presented in Table 1.…”

Section: Methodsmentioning

confidence: 99%

Long-Term Results of Endovascular Treatment of Chronic Iliofemoral Venous Obstructive Lesions

Ignatiev

Pokrovsky

Gradusov

2019

Vasc Endovascular Surg

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Objective: To evaluate the long-term results in endovascular treatment of iliofemoral venous obstructive lesions. Methods: From January 2009 to March 2017, 75 patients were admitted for endovascular treatment of chronic obstructive lesions of the iliofemoral veins. Of these, 60 patients underwent stenting of postthrombotic obstructions and 15 patients stenting of nonthrombotic obstructive lesions of the iliac veins (May-Thurner syndrome in 11, for tumor-induced compression and cicatricial stenosis in 4). Dynamic control of stent patency was carried out by means of duplex ultrasound. Efficacy of endovascular intervention was evaluated by measuring the venous pressure gradient and malleolar circumference. The clinical result was determined by the Venous Clinical Severity Score (VCSS). Results: Technical success of endovascular intervention in postthrombotic occlusions of iliac vein was 92% and in nonthrombotic iliac vein lesions was 100%. Cumulative primary and secondary patency in postthrombotic lesions at 60 months amounted to 72% and 81%, respectively, in nonthrombotic lesions to 85% (primary patency). Reinterventions were successfully performed in 6 patients including catheter-directed thrombolysis (3 patients) and stenting (3 patients). The mean VCSS score fell from 14.2 (4.2) to 7.5 (2.6; P < .001). The quality of life was improved; its mean score decreased from 62.6 (18.7) to 48.7 (12.8; P < .01). Conclusion: Endovascular angioplasty and stenting for obstructive lesions of the iliofemoral veins is a minimally invasive, safe, and highly effective method of treatment, which is confirmed by a significant improvement of the limb’s condition and good long-term results of patency of the restored venous segments.

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“…A. Pokrovsky и соавт. [70] представили опыт выполнения эндофлебэктомии и стентирования у 12 больных ПТБ. По данным этого исследования, в сроки от 3 до 7 мес у 100% больных отмечены про ходимость стентов, снижение тяжести течения за болевания, отсутствие рецидива трофических язв.…”

Section: реконструктивные операции при посттромботической болезниunclassified

Non-Trivial Phlebology

Sg¹,

Efremova²

2018

Flebol.

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First Experience of Performing Hybrid Operations in Chronic Venous Obstructions of Iliofemoral Segments in Patients With Postthrombotic Syndrome

Abstract: The first experience of hybrid operations for obstructive lesions of veins of the iliofemoral segments demonstrated their high efficacy and safety.

Cited by 7 publications

References 20 publications

Percutaneous Endovascular Sapheno‑Femoral Bypass for Treatment of Chronic Iliac Vein Stent Occlusion

Percutaneous Endovascular Sapheno‑Femoral Bypass for Treatment of Chronic Iliac Vein Stent Occlusion

Long-Term Results of Endovascular Treatment of Chronic Iliofemoral Venous Obstructive Lesions

Non-Trivial Phlebology

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