Annals of vascular surgery · 2014
Outcome of endovascular treatment in postthrombotic syndrome.
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Sang Hongfei, Li Xiaoqiang, Qian Aimin, Meng Qingyou
Аннотация
BACKGROUND: The postthrombotic syndrome (PTS) is a chronic complication of deep venous thrombosis (DVT) that is characterized by leg swelling and ulceration.
METHODS: Sixty-seven cases of PTS underwent attempted endovascular treatment with success in 63 between June 2005 and June 2012. Thirty-six cases underwent endovascular treatment only and 18 cases combined with temporary femoral arteriovenous fistula, 5 cases great saphenous vein ligation and stripping whereas 4 cases with communicating branch ligation around ulcers.
RESULTS: Stenting was successfully performed in 63 of 67 patients. The technical success rate was 94% with no mortality. Fifty-eight cases were followed up from 1 to 84 months. Stent occlusion or restenosis occurred in 17 patients. The primary and secondary patency rates were 87.9% and 93.1%, respectively, at 12 months and 70.7% and 82.8%, respectively, at 36 months.
CONCLUSIONS: Endovascular treatment of PTS is safe and effective. It can alleviate symptoms and prevent further deterioration of patients with PTS.
METHODS: Sixty-seven cases of PTS underwent attempted endovascular treatment with success in 63 between June 2005 and June 2012. Thirty-six cases underwent endovascular treatment only and 18 cases combined with temporary femoral arteriovenous fistula, 5 cases great saphenous vein ligation and stripping whereas 4 cases with communicating branch ligation around ulcers.
RESULTS: Stenting was successfully performed in 63 of 67 patients. The technical success rate was 94% with no mortality. Fifty-eight cases were followed up from 1 to 84 months. Stent occlusion or restenosis occurred in 17 patients. The primary and secondary patency rates were 87.9% and 93.1%, respectively, at 12 months and 70.7% and 82.8%, respectively, at 36 months.
CONCLUSIONS: Endovascular treatment of PTS is safe and effective. It can alleviate symptoms and prevent further deterioration of patients with PTS.
Предметные рубрики MeSH
AdultAgedArteriovenous Shunt, SurgicalCombined Modality TherapyConstriction, PathologicEndovascular ProceduresFemaleFemoral ArteryFemoral VeinHumansLigationMaleMiddle AgedPostthrombotic SyndromeRadiography, InterventionalRecurrenceRetrospective StudiesSaphenous VeinStentsTime FactorsTreatment OutcomeVascular PatencyYoung Adult