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Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
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Published on: December 9, 2022

Chronic iliac vein occlusion: midterm results of endovascular recanalization

Tilo Kölbel1, Mats Lindh, Michael Akesson

  • 1Vascular Center, Malmö University Hospital, Malmö, Sweden. tilokoelbel@googlemail.com

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
|August 26, 2009
PubMed

Insights

Endovascular recanalization and stent placement effectively treats chronic iliac vein occlusions, offering good patency and symptom relief. This safe procedure improves outcomes for patients with post-thrombotic syndrome.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiovascular Medicine

Background:

  • Chronic iliac vein occlusions significantly impact patient quality of life.
  • Post-thrombotic syndrome is a common complication of deep vein thrombosis.
  • Effective treatment options for iliac vein occlusions are crucial.

Purpose of the Study:

  • To evaluate the safety and efficacy of endovascular recanalization and stent placement for chronic iliac vein occlusions.
  • To assess the patency rates and clinical outcomes in treated patients.
  • To determine the long-term durability of endovascular treatment for iliac vein occlusions.

Main Methods:

  • Retrospective analysis of a prospectively maintained database.
  • Inclusion of 59 patients (66 limbs) treated between 1994 and 2008.
  • Successful endovascular recanalization and stent placement procedures.

Main Results:

  • Technical success rate of 95% with a 5% complication rate.
  • Initial clinical success at 6 months was 83%.
  • Primary patency at 5 years was 70%, with secondary patency at 80%.

Conclusions:

  • Endovascular recanalization and stent placement is a safe and effective treatment for chronic iliac vein occlusions.
  • Midterm clinical results are encouraging, with sustained patency in most patients.
  • This endovascular approach alleviates symptoms and prevents disease progression in patients with post-thrombotic syndrome.
Abstract

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