Venovo venous stent for treatment of non-thrombotic or post-thrombotic iliac vein lesions - long-term efficacy and safety results from the Arnsberg venous registry

VASA. Zeitschrift für Gefässkrankheiten
Michael LichtenbergR de Graaf

Abstract

Background: Endovascular venous stenting with dedicated venous stents for the treatment of chronic venous outflow obstruction is developing as efficacious alternative to conservative therapy or open surgery. However, so far, mid- and long-term evidence on effectiveness and safety is poor. Patients and methods: The prospective, single-center, observational study enrolled consecutive patients with chronic non-thrombotic iliac vein lesions (NIVL) or post-thrombotic iliofemoral obstructions (PTO). From February 2016 to April 2017, patients underwent implantation of open cell, self-expandable dedicated venous stents. Short-term symptomatic improvement, patency, and complication rate were favorable. Evaluation at 2-years included improvement in the revised venous clinical severity score (rVCSS), patency, stent migration, major target limb events, clinically important pulmonary embolism, major bleeding, and all-cause mortality. Results: A total of 79 patients (57 ± 16 years, 44 female) were evaluated. At 2 years, rVCCS improved by 4.3 ± 2.7 (p < 0.001). Substantial clinical improvement of ≥ 2 score points was achieved in 86.4% (38 of 44) of patients. Improvement was not associated with thrombotic pathogenesis (regression coefficient [...Continue Reading

References

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Citations

May 7, 2021·VASA. Zeitschrift für Gefässkrankheiten·Michael LichtenbergRick de Graaf
Mar 20, 2021·International Angiology : a Journal of the International Union of Angiology·Adriana M FerreiraArmando Mansilha
Apr 20, 2021·The Journal of Cardiovascular Surgery·Arash Fereydooni, Jordan R Stern
Nov 12, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ghulam M MajeedPrakash Saha

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