Stenting for chronic obstructive venous disease: A current comprehensive meta-analysis and systematic review.

Abstract:

OBJECTIVES:The aim of this article was to summarize the efficacy and safety of venous stents in chronic obstructive venous disease (COVD) including postthrombotic syndrome (PTS) and nonthrombotic iliac vein lesions (NIVL). METHODS:We searched PubMed for case series (prospective and retrospective) that focused on venous stents in the treatment of COVD published between 1st January, 2000 and 15th July, 2014. Then, we analyzed the perioperative complications, subsequent antithrombotic treatment, clinical outcomes, and long-term patency of this procedure. RESULTS:Overall, 1987 patients from 14 studies were included in our study. The incidence of the 30-day thrombotic events was 2.0% (4.0% in PTS vs. 0.8% in NIVL, p = 0.0002). The rates of access site complications and stent migration were 1.7% and 1.3%, respectively. The incidence of retroperitoneal bleeding and contrast extravasation was 1.8%. Back pain was more common with a rate of 62.9%. With stent placement, there was a significant pain and edema relief in COVD patients and the clinical-etiology-anatomy-pathophysiology scores declined. The rate of ulcer healing was 72.1% (70.3% in PTS vs. 86.9% in NIVL, p = 0.0022), and the ulcer recurrence rate was 8.7%. The primary, assisted primary, and secondary patency rates were 91.4%, 95.0%, and 97.8%, respectively, at 12 months and 77.1%, 92.3%, and 94.3%, respectively, at 36 months; however, the patency rates in PTS were lower than those in NIVL. CONCLUSIONS:Stents may be a relatively effective and safe approach for PTS and NIVL patients because of the low incidence of perioperative complications and satisfying long-term patency. Some outcomes of stents in NIVL patients may be better than those in PTS patients.

journal_name

Phlebology

journal_title

Phlebology

authors

Wen-da W,Yu Z,Yue-Xin C

doi

10.1177/0268355515596474

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

376-89

issue

6

eissn

0268-3555

issn

1758-1125

pii

0268355515596474

journal_volume

31

pub_type

杂志文章,meta分析,评审
  • Mechanochemical tumescentless endovenous ablation: final results of the initial clinical trial.

    abstract:OBJECTIVE:The purpose of this study was to assess the safety and efficacy of the ClariVein(®) system that employs mechanochemical ablation of the great saphenous vein (GSV). METHOD:Patients eligible for ablation of the GSV underwent micropuncture access with only local anaesthesia to insert a 4 or 5 Fr sheath. The Cla...

    journal_title:Phlebology

    pub_type: 临床试验,杂志文章

    doi:10.1258/phleb.2011.010100

    authors: Elias S,Raines JK

    更新日期:2012-03-01 00:00:00

  • Treatment of severe chronic venous insufficiency with ultrasound-guided foam sclerotherapy: a two-year series in a single center in Brazil.

    abstract:OBJECTIVES:To portray the initial experience at a public health center of the Federal District of Brazil in the treatment of chronic venous insufficiency with ultrasound-guided foam sclerotherapy in patients in advanced stages of the disease. METHOD:Eighty-seven reports of patients in C5 and C6 stages, according to CE...

    journal_title:Phlebology

    pub_type: 临床试验,杂志文章

    doi:10.1177/0268355513517225

    authors: Neto FC,de Araújo GR,Kessler IM,de Amorim RF,Falcão DP

    更新日期:2015-03-01 00:00:00

  • Compression with 23 mmHg or 35 mmHg stockings after saphenous catheter foam sclerotherapy and phlebectomy of varicose veins: A randomized controlled study.

    abstract:OBJECTIVES:To compare two different medical compression stockings after varicose vein treatment. PATIENTS AND METHODS:A randomized single-blind controlled study on two compression regimes after saphenous catheter foam sclerotherapy + phlebectomy was performed. After pads and 5 mmHg contention sock, 23 mmHg (group A, S...

    journal_title:Phlebology

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0268355518776127

    authors: Cavezzi A,Mosti G,Colucci R,Quinzi V,Bastiani L,Urso SU

    更新日期:2019-03-01 00:00:00

  • Cross-sectional study on heredity and venous disorders: the end of the dominant maternal heredity dogma?

    abstract:OBJECTIVE:To evaluate the heredity factor of the chronic venous disorders and odds ratio linked to maternal or paternal heredity. METHODS:Cross-sectional epidemiological study conducted in daily practice of medical practitioners on all patients consulting them. The practitioners described the venous status of all pati...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355514560601

    authors: Crebassa V,Roucaute T,Guex JJ,Allaert FA

    更新日期:2016-02-01 00:00:00

  • European guidelines for sclerotherapy in chronic venous disorders.

    abstract:AIM:Sclerotherapy is the targeted chemical ablation of varicose veins by intravenous injection of a liquid or foamed sclerosing drug. The treated veins may be intradermal, subcutaneous, and/or transfascial as well as superficial and deep in venous malformations. The aim of this guideline is to give evidence-based recom...

    journal_title:Phlebology

    pub_type: 杂志文章,实务指引

    doi:10.1177/0268355513483280

    authors: Rabe E,Breu FX,Cavezzi A,Coleridge Smith P,Frullini A,Gillet JL,Guex JJ,Hamel-Desnos C,Kern P,Partsch B,Ramelet AA,Tessari L,Pannier F,Guideline Group.

    更新日期:2014-07-01 00:00:00

  • Predicting superficial venous incompetence with strain gauge plethysmography.

    abstract:BACKGROUND:With currently available effective interventional methods to treat superficial venous insufficiency, it becomes particularly important to have a simple and reliable method to evaluate the location and severity of venous reflux. To date, there are few studies that evaluated plethysmography with and without to...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2011.011001

    authors: Skeik N,Kalsi H,Wysokinski WE,Heaser TV,Wennberg PW

    更新日期:2012-04-01 00:00:00

  • Preoperative determination of anatomic variations of the small saphenous vein for varicose vein surgery by three-dimensional computed tomography venography.

    abstract:OBJECTIVE:To define the anatomical variations of small saphenous vein (SSV) for varicose vein (VV) surgery by three-dimensional computed tomography venography (3D-CTV) and to analyse the impact of this preoperative evaluation on surgical outcomes. METHODS:A total of 120 consecutive limbs with SSV insufficiency having ...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2011.011023

    authors: Kim SY,Park EA,Shin YC,Min SI,Lee W,Ha J,Kim SJ,Min SK

    更新日期:2012-08-01 00:00:00

  • Anatomy and embryology of the small saphenous vein: nerve relationships and implications for treatment.

    abstract::The aim of this paper is to describe the anatomical relations of the small saphenous vein (SSV) in order to define the high-risk zones for the treatment of chronic venous disease. The SSV runs in the saphenous compartment demarcated by two fascia layers: a muscular fascia and a membranous layer of subcutaneous tissue....

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2012.012j08

    authors: Uhl JF,Gillot C

    更新日期:2013-02-01 00:00:00

  • Re-modelling of venous thrombosis.

    abstract::Venous thromboembolism is one of the most common causes of morbidity and mortality in modern societies. The entirety of events involved in venous thrombus formation and resolution remains to be elucidated. Temporal relation between the initial cellular insult, thrombus formation and resolution is critical for institut...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1177/0268355513476638

    authors: Malgor RD,Labropoulos N

    更新日期:2013-03-01 00:00:00

  • The impact of direction of great saphenous vein total stripping on saphenous nerve injury.

    abstract:OBJECTIVES:To examine and compare the effects of downwards versus upwards total stripping of great saphenous vein (GSV) on saphenous nerve (SN) injury using clinical and electrophysiological studies. METHODS:Fifty patients with varicosities were equally and randomly assigned to undergo total, upwards stripping (group ...

    journal_title:Phlebology

    pub_type: 杂志文章,随机对照试验

    doi:10.1258/phleb.2012.012061

    authors: Papakostas JC,Douitsis E,Sarmas I,Avgos S,Kyritsis A,Matsagkas M

    更新日期:2014-02-01 00:00:00

  • The superficial venous system of the lower extremity: new nomenclature.

    abstract::The phlebology in the area of lower limbs is the only medical field in which the terminological needs of clinicians were met. Ten years ago, the latest revision of the Latin anatomical nomenclature, Terminologia Anatomica (TA), was issued. But almost none of the chapters reflected the clinicians' need to be a relevant...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2009.009046

    authors: Kachlik D,Pechacek V,Baca V,Musil V

    更新日期:2010-06-01 00:00:00

  • Clarivein mechanochemical ablation of the great and small saphenous vein: Early treatment outcomes of two hospitals.

    abstract:OBJECTIVES:Mechanochemical endovenous ablation is a novel technique for the treatment of great saphenous vein and small saphenous vein incompetence which combines mechanical injury of the endothelium with simultaneous infusion of liquid sclerosant. The main objective of this study was to evaluate early occlusion. METH...

    journal_title:Phlebology

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0268355515600573

    authors: Deijen CL,Schreve MA,Bosma J,de Nie AJ,Leijdekkers VJ,van den Akker PJ,Vahl A

    更新日期:2016-04-01 00:00:00

  • Deficiencies in venous experience in UK vascular trainees: a survey of Rouleaux Club members.

    abstract:OBJECTIVE:The aim of this study was to evaluate the training experience of current UK vascular trainees in the modern management of venous disease. METHOD:A web-based questionnaire of the 145 members of the Rouleaux Club (www.rouleauxclub.com), which represents UK vascular trainees. Members were asked to complete the ...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2010.010046

    authors: Scurr JR,Oshin OA,Hinchliffe RJ,Holt PJ,Gohel M

    更新日期:2011-09-01 00:00:00

  • Patterns in the management of superficial vein thrombosis.

    abstract::Objective To highlight current practice patterns in management of superficial vein thrombosis. Methods An electronic survey was conducted using the mailing lists of the Mediterranean League of Angiology and Vascular Surgery and European Venous Forum regarding superficial vein thrombosis diagnosis, investigation, and t...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355516641003

    authors: Karathanos C,Spanos K,Lachanas V,Athanasoulas A,Giannoukas AD

    更新日期:2017-04-01 00:00:00

  • Confluence of the right internal iliac vein into a compressed left common iliac vein.

    abstract::The authors describe the abnormal confluence of the right internal iliac vein into a left common iliac vein compressed by the overlying right common iliac artery. The prevalence of this combination of abnormalities, evaluated in cadavers and in living subjects by CT, was 0.9%. The possible obstacle to venous pelvic re...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355515586098

    authors: Caggiati A,Amore M,Sedati P

    更新日期:2016-03-01 00:00:00

  • Early re-presentations and the potential role of catheter-directed thrombolysis in patients diagnosed with a lower limb deep vein thrombosis: a single-centre experience.

    abstract:INTRODUCTION:Catheter-directed thrombolysis (CDT) for iliofemoral deep vein thrombosis (DVT) restores venous patency, reduces the risk of the post-thrombotic syndrome and may reduce longer term treatment costs. This study assessed the potential role of CDT in patients with DVT with regard to representation following th...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2012.012078

    authors: Chandra E,Ahmadi M,Bailey MA,Griffin KJ,Berridge DC,Coughlin PA,Scott DJ

    更新日期:2013-12-01 00:00:00

  • Guidelines for the management of varicose veins.

    abstract::Recently published evidence-based guidelines of the Society for Vascular Surgery (SVS) and the American Venous Forum (AVF) include recommendations for evaluation, classification, outcome assessment and therapy of patients with varicose veins and more advanced chronic venous insufficiency (CVI). The need for such guide...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2012.012s28

    authors: Gloviczki P,Gloviczki ML

    更新日期:2012-03-01 00:00:00

  • Importance of patient-reported outcomes in chronic venous disorders.

    abstract::The assessment of outcomes following treatment for chronic venous disease has been greatly improved over the last three decades. The personal opinion of the physician based on assessment of his own results has been replaced by more objective assessment based on well-defined criteria. The author describes and compares ...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2012.012s20

    authors: Guex JJ

    更新日期:2012-03-01 00:00:00

  • Comparison of clinical prediction scores for the diagnosis of deep vein thrombosis in unselected population of outpatients and inpatients.

    abstract:OBJECTIVES:The aim of this research was to compare the accuracy of the modified Wells, the Wells, the Kahn, the St. André, and the Constans score for the diagnosis of deep vein thrombosis of the lower limb in unselected population of outpatients and inpatients. METHOD:The pretest of probability score was employed in c...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355514541981

    authors: Sermsathanasawadi N,Suparatchatpun P,Pumpuang T,Hongku K,Chinsakchai K,Wongwanit C,Ruangsetakit C,Mutirangura P

    更新日期:2015-08-01 00:00:00

  • Catheter-directed foam sclerotherapy for insufficiency of the great saphenous vein: occlusion rates and patient satisfaction after one year.

    abstract:OBJECTIVES:This study aims to describe a technique for catheter-directed foam sclerotherapy (CDS) of great saphenous vein (GSV) insufficiency and report occlusion rate and patient satisfaction after a single treatment. METHODS:About 100 patients were included. The GSV was accessed at knee level. With the method of Tes...

    journal_title:Phlebology

    pub_type: 临床试验,杂志文章

    doi:10.1258/phleb.2011.011136

    authors: Williamsson C,Danielsson P,Smith L

    更新日期:2013-03-01 00:00:00

  • Superficial vein ablation for the treatment of primary chronic venous ulcers.

    abstract:OBJECTIVE:This retrospective study was undertaken to review our experience with ablation of superficial veins with significant reflux, using VNUS ClosureFAST RF (radiofrequency) or laser 980 nm, in patients with primary chronic venous ulcers, and also determine its effects in ulcer healing and ulcer recurrence. METHOD...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2010.010058

    authors: Sufian S,Lakhanpal S,Marquez J

    更新日期:2011-10-01 00:00:00

  • Catheter-directed sclerotherapy.

    abstract:BACKGROUND:Catheter directed sclerotherapy (CDS) involves the use of a long catheter to deliver a sclerosing agent into a target vessel (saphenous trunks or venous malformations) under ultrasound guidance. Aims and Methods This article reviews the history, current techniques and devices and the evidence as it relates t...

    journal_title:Phlebology

    pub_type: 历史文章,杂志文章

    doi:10.1258/phleb.2009.009010

    authors: Parsi K

    更新日期:2009-06-01 00:00:00

  • Compression for the management of venous leg ulcers: which material do we have?

    abstract::Compression therapy is the most important basic treatment modality in venous leg ulcers. The review focusses on the materials which are used: 1. Compression bandages, 2. Compression stockings, 3. Self-adjustable Velcro-devices, 4. Compression pumps, 5. Hybrid devices. Compression bandages, usually applied by trained s...

    journal_title:Phlebology

    pub_type: 评审

    doi:10.1177/0268355514528129

    authors: Partsch H

    更新日期:2014-05-01 00:00:00

  • Bioimpedance spectroscopy and volumetry in the immediate/short-term monitoring of intensive complex decongestive treatment of lymphedema.

    abstract:AIMS:To assess (a) immediate/short-term outcomes of intensive complex decongestive treatment of lower limb lymphedema, by means of bioimpedance spectroscopy and tape measurement-based volumetry, and (b) correlation between these two methods. PATIENTS AND METHODS:Cohort study on patients affected by unilateral primary ...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355520938578

    authors: Cavezzi A,Urso SU,Paccasassi S,Mosti G,Campana F,Colucci R

    更新日期:2020-10-01 00:00:00

  • Wound care in venous ulcers.

    abstract::Wound dressings: ulcer dressings should create and maintain a moist environment on the ulcer surface. It has been shown that in an ulcer with a hard crust and desiccated bed, the healing process is significantly slowed and sometimes completely blocked so favouring infection, inflammation and pain. In contrast a moist ...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1177/0268355513477015

    authors: Mosti G

    更新日期:2013-03-01 00:00:00

  • Shunt flow of arteriovenous fistulas from plantar artery.

    abstract:OBJECTIVE:The purpose of this study was to visualize the shunt flow of arteriovenous fistulas (AVFs) passing towards the top side of the foot from the plantar artery. METHODS:Colour-flow duplex Doppler ultrasonography was performed in 112 patients who consulted an outpatient clinic with varicose veins and/or symptoms ...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2009.009067

    authors: Yoshida Y,Fujita M

    更新日期:2011-02-01 00:00:00

  • Clinical results after coil embolization of the ovarian vein in patients with primary and recurrent lower-limb varices with respect to vulval varices.

    abstract:OBJECTIVE:To study the effect of coil embolization of the insufficient ovarian vein (IOV) on varices of the lower limb (VLL). METHOD:From December 2005 until May 2008, we selected all patients with phlebograms that were performed in our hospital to confirm the diagnosis of insufficiency of the ovarian vein. The CEAP (...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2012.011117

    authors: Castenmiller PH,de Leur K,de Jong TE,van der Laan L

    更新日期:2013-08-01 00:00:00

  • Epidemiology, risk factors and sequelae of venous thromboembolism.

    abstract::The aim of this review was to discuss the epidemiology, risk factors and sequelae of venous thromboembolism (VTE). VTE has an incidence of 1-2 per 1000 people annually. The risk of VTE increases with age and is highest in Caucasians and African Americans. Combined oral contraceptives (COC), especially the third-genera...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2012.012s31

    authors: Wong P,Baglin T

    更新日期:2012-01-01 00:00:00

  • Popliteal venous aneurysm: a report on three cases presenting with chronic venous insufficiency without embolic events.

    abstract:OBJECTIVES:Popliteal venous aneurysms (PVA) are rare, but represent a significant potential source of thromboembolus. Most often the patients present with pulmonary embolism, which can also be detected in patients presenting with chronic venous insufficiency. METHODS:Three patients without any clinical evidence of pul...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/026835507780346204

    authors: Christenson JT

    更新日期:2007-01-01 00:00:00

  • Unilateral leg swelling: deep vein thrombosis?

    abstract:OBJECTIVE:We present two cases of a unilateral leg swelling of unusual aetiology as a reminder to the physician to consider causes of unilateral leg swelling other than deep vein thrombosis, lymphoedema and infectious diseases. CASE REPORTS:Both of our patients developed progressive leg swelling. Subsequent investigat...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2009.009055

    authors: Bekou V,Galis D,Traber J

    更新日期:2011-02-01 00:00:00