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Title: Endovascular Stent Treatment for Symptomatic Benign Iliofemoral Venous Occlusive Disease: Long-Term Results 1987-2009

Abstract

Venous stenting has been shown to effectively treat iliofemoral venous obstruction with good short- and mid-term results. The aim of this study was to investigate long-term clinical outcome and stent patency. Twenty patients were treated with venous stenting for benign disease at our institution between 1987 and 2005. Fifteen of 20 patients (15 female, mean age at time of stent implantation 38 years [range 18-66]) returned for a clinical visit, a plain X-ray of the stent, and a Duplex ultrasound. Four patients were lost to follow-up, and one patient died 277 months after stent placement although a good clinical result was documented 267 months after stent placement. Mean follow-up after stent placement was 167.8 months (13.9 years) (range 71 (6 years) to 267 months [22 years]). No patient needed an additional venous intervention after stent implantation. No significant difference between the circumference of the thigh on the stented side (mean 55.1 cm [range 47.0-70.0]) compared with the contralateral thigh (mean 54.9 cm [range 47.0-70.0]) (p = 0.684) was seen. There was a nonsignificant trend toward higher flow velocities within the stent (mean 30.8 cm/s [range 10.0-48.0]) and the corresponding vein segment on the contralateral side (mean 25.2 cm/s [range 12.0-47.0])more » (p = 0.065). Stent integrity was confirmed in 14 of 15 cases. Only one stent showed a fracture, as documented on x-ray, without any impairment of flow. Venous stenting using Wallstents showed excellent long-term clinical outcome and primary patency rate.« less

Authors:
;  [1];  [2];  [3]
  1. Cantonal Hospital Winterthur, Department of Radiology (Switzerland)
  2. University Hospital of Zurich, Clinical Trials Center, Center for Clinical Research (Switzerland)
  3. Klinik Im Park, Department of Surgery (Switzerland)
Publication Date:
OSTI Identifier:
21608684
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 34; Journal Issue: 3; Conference: CIRSE 2011: Annual meeting of the Cardiovascular and Interventional Radiological Society of Europe, Munich (Germany), 10-14 Sep 2011; Other Information: DOI: 10.1007/s00270-010-9927-6; Copyright (c) 2011 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Article Copyright (c) 2010 The Author(s); Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; DISEASES; FEMALES; FRACTURES; PATIENTS; VEINS; X RADIATION; BLOOD VESSELS; BODY; CARDIOVASCULAR SYSTEM; ELECTROMAGNETIC RADIATION; FAILURES; IONIZING RADIATIONS; ORGANS; RADIATIONS

Citation Formats

Gutzeit, A, Zollikofer, Ch. L., E-mail: Christoph.Zollikofer@ksb.ch, Dettling-Pizzolato, M, Graf, N, Largiader, J, and Binkert, C. A., E-mail: christoph.binkert@ksw.ch. Endovascular Stent Treatment for Symptomatic Benign Iliofemoral Venous Occlusive Disease: Long-Term Results 1987-2009. United States: N. p., 2011. Web. doi:10.1007/S00270-010-9927-6.
Gutzeit, A, Zollikofer, Ch. L., E-mail: Christoph.Zollikofer@ksb.ch, Dettling-Pizzolato, M, Graf, N, Largiader, J, & Binkert, C. A., E-mail: christoph.binkert@ksw.ch. Endovascular Stent Treatment for Symptomatic Benign Iliofemoral Venous Occlusive Disease: Long-Term Results 1987-2009. United States. https://doi.org/10.1007/S00270-010-9927-6
Gutzeit, A, Zollikofer, Ch. L., E-mail: Christoph.Zollikofer@ksb.ch, Dettling-Pizzolato, M, Graf, N, Largiader, J, and Binkert, C. A., E-mail: christoph.binkert@ksw.ch. 2011. "Endovascular Stent Treatment for Symptomatic Benign Iliofemoral Venous Occlusive Disease: Long-Term Results 1987-2009". United States. https://doi.org/10.1007/S00270-010-9927-6.
@article{osti_21608684,
title = {Endovascular Stent Treatment for Symptomatic Benign Iliofemoral Venous Occlusive Disease: Long-Term Results 1987-2009},
author = {Gutzeit, A and Zollikofer, Ch. L., E-mail: Christoph.Zollikofer@ksb.ch and Dettling-Pizzolato, M and Graf, N and Largiader, J and Binkert, C. A., E-mail: christoph.binkert@ksw.ch},
abstractNote = {Venous stenting has been shown to effectively treat iliofemoral venous obstruction with good short- and mid-term results. The aim of this study was to investigate long-term clinical outcome and stent patency. Twenty patients were treated with venous stenting for benign disease at our institution between 1987 and 2005. Fifteen of 20 patients (15 female, mean age at time of stent implantation 38 years [range 18-66]) returned for a clinical visit, a plain X-ray of the stent, and a Duplex ultrasound. Four patients were lost to follow-up, and one patient died 277 months after stent placement although a good clinical result was documented 267 months after stent placement. Mean follow-up after stent placement was 167.8 months (13.9 years) (range 71 (6 years) to 267 months [22 years]). No patient needed an additional venous intervention after stent implantation. No significant difference between the circumference of the thigh on the stented side (mean 55.1 cm [range 47.0-70.0]) compared with the contralateral thigh (mean 54.9 cm [range 47.0-70.0]) (p = 0.684) was seen. There was a nonsignificant trend toward higher flow velocities within the stent (mean 30.8 cm/s [range 10.0-48.0]) and the corresponding vein segment on the contralateral side (mean 25.2 cm/s [range 12.0-47.0]) (p = 0.065). Stent integrity was confirmed in 14 of 15 cases. Only one stent showed a fracture, as documented on x-ray, without any impairment of flow. Venous stenting using Wallstents showed excellent long-term clinical outcome and primary patency rate.},
doi = {10.1007/S00270-010-9927-6},
url = {https://www.osti.gov/biblio/21608684}, journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 3,
volume = 34,
place = {United States},
year = {Wed Jun 15 00:00:00 EDT 2011},
month = {Wed Jun 15 00:00:00 EDT 2011}
}