Iliac vein stenting outcomes for patients with superficial venous insufficiency concurrent with deep venous disease

Vasan, Vikram; Bai, Halbert; Chen, Jenny; Storch, Jason B.; Kim, Jinseo; Dionne, Elyssa; Cho, Logan D.; Gonzalez, Christopher; Cooke, Peter V.; Kang, Yeju; Rao, A. C.; Ting, Windsor

doi:10.1016/j.jvsv.2022.06.015

Cited by 4 publications

(2 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The CAS method takes the testimony of the patient's pain from 0-absent, 1-mild, 2moderate, or 3-severe. Level of edema is also incorporated in this in the parameters of 0-absent, mild-localized to the leg, moderate-localized to the calf, or severe-in both the calf and the thigh [13][14][15] . They were given these scores was based on physical exam by the treating physician.…”

Section: Methodsmentioning

confidence: 99%

“…This is based on subjective parameters from a physical exam and testimony by the patient at the conclusion of each visit. 14 We use this score because VCSS is poorly understood by most physicians caring for the patients’ other physicians, and CEAP score is more of a clinical diagnosis rather than a clinical assessment. The CAS method takes the testimony of the patient’s pain from 0- absent, 1- mild, 2- moderate, or 3- severe.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Gender Differences in Iliofemoral Vein Stenting for Chronic Venous Insufficiency

Dionne

Bai

Collins

et al. 2023

Vasc Endovascular Surg

Self Cite

View full text Add to dashboard Cite

Introduction Little is known about gender’s role in chronic venous insufficiency (CVI). The aim of this study was to evaluate the impact of gender on outcomes of iliac vein stenting(IVS) for CVI. Methods 866 patients who underwent vein stenting for CVI at one institution from August 2011 to June 2021 were analyzed via retrospective review. Patients were followed up to 5 years after initial stent placement. Presenting symptoms were quantified using Venous Clinical Severity Score(VCSS), Clinical Assessment Score(CAS), and Clinical, Etiology, Anatomy, and Pathophysiology (CEAP) class. Reoperations after initial IVS were recorded. Major reoperations were defined as iliac interventions using venography. Minor reoperations were defined as thermal ablation. Multivariate logistic regression models were used determine odds of any and major reintervention. Results Compared to females, males pre-operatively presented with a higher mean CEAP class (3.6 vs .3.3; P < .001), VCSS composite (11.3 vs .9.9; P < .001), and smoking history (134 vs .49; P < .001). The 2 groups were similar in age ( P = .125), BMI( P = .898), previous DVT ( P = .085), diabetes ( P = .386), hypertension ( P = 1.0), and CAD ( P = .499). Multivariate analyses revealed no association between gender and any reintervention (OR, 1.02; 95%CI, .71-1.46; P = .935) or gender and major reintervention (OR, 1.39; 95% CI, .86-2.23 P = .177). There were no differences in number of stents placed ( P = .736) or symptomatic improvement at 1 month ( P = .951), 3 months ( P = .233), 6 months( P = .068), and greater than 1 year ( P = .287). At the 1 year follow-up, the male cohort had higher CAS values than females P = .034). Males had larger reduction in composite VCSS than women at 1 year (5.1 vs. 3.8; P = .003) and 3 years (5.3 vs .3.7; P = .031) of follow-up and similar levels of improvement in post-op (4.0 vs .3.5; P = .059), 2 years (4.3 vs .3.8; P = .295), 4-years (5.1 vs .4.6; P = .529), 5 years (5.6 vs .4.2; P = .174), and 6 years (5.93vs.3.3 P = .089). Conclusions In a single site study of IVS in patients with CVI, males tended to present worse symptoms than females. After surgery, however, both cohorts showed improvement, and both seemed to improve to the same degree of residual symptoms.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%