The effect of venoplasty and stent implantation in patients with chronic venous symptoms following deep vein thrombosis in iliofemoral segment

Abstract

Deep vein thrombosis (DVT) is a common vascular condition that affects 1 to 3 per 1,000 persons per year. Proximal thrombosis (including iliac arteries) is at higher risk for postthrombotic syndrome (PTS)‫‬ . ‫‬ Therefore, in the present study, we investigated the effect of venoplasty by stent placement in patients with chronic venous symptoms following DVT in the iliofemoral segment. In this crosssectional study, patients with an age range of 20 to 70 years who presented with chronic symptoms of iliofemoral obstructive venous lesion following DVT were included in the study if satisfied. They were placed under local anesthesia with lidocaine and, if necessary, by venous sedation under lower extremity venography by catheter with popliteal vein surgery on the same side and placement of a sheet ‫‬. ‫‬ Variables related to before the intervention and six months after the intervention were reviewed, recorded and analyzed ‫‬ . ‫‬ Among 24 patients participating in the study, 70.8% were male and 29.2% were female with a mean age of 51.42 ± 8.27 years. There was a significant difference in pain and wound condition before and 6 months after the intervention (P <0.001). After the intervention, 58.3% of patients were in painless condition and the frequency of patients without wounds increased from 12.5% to 66.7%. Edema changes were not significant (P = 0.29). Stent implantation in patients with chronic venous symptoms following DVT in the iliofemoral segment reduces pain and wound healing and is an effective, usable and practical method .