Iliocaval vein stenting: Long term survey of postthrombotic symptoms and working capacity.

Journal of Thrombosis and Thrombolysis
Alaa AlhadadAnders Gottsäter

Abstract

To evaluate the long term effect on lower extremity function and working capacity after stenting of iliocaval vein segments for acute deep venous thrombosis (DVT) or chronic venous occlusive disease. During a 14 year period from November 1994 to October 2008, 114 patients with median age 36 (interquartile range [IQR], 27-48) years, 72 (63%) women, 72 (63%) with hypercoagulable disorders, with acute DVT (n = 44, 39%), or chronic occlusions (n = 70, 61%) in the iliocaval vein segment were treated with venous stent placement after catheter-directed thrombolysis, angioplasty or recanalization. The long term impact on lower extremity function and working capacity was evaluated through retrospective evaluation of a prospectively registered database in combination with a questionnaire sent to all 108 surviving patients. The questionnaire was returned by 91/108(84%) patients, 37 (86%) with acute DVT, and 54(83%) with chronic venous occlusions. After a median follow-up of 6.2 (IQR 3.8-10.5) years, 38 (42%) patients were without anticoagulation therapy. Among patients with acute DVT 29 (78%) reported no lower extremity pain, 31 (84%) reported no ulcerations, and 26 (70%) were without lower extremity swelling, and 33(89%) without pelvic o...Continue Reading

References

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Citations

Mar 19, 2014·Cardiovascular and Interventional Radiology·Andreas H MahnkenGerard J O'Sullivan
Jul 16, 2013·Annals of Vascular Surgery·Albeir Y Mousa, Ali F AbuRahma
Feb 20, 2016·British Medical Bulletin·Prakash SahaAlberto Smith
Apr 30, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C WittensUNKNOWN European Society for Vascular Surgery

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