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A comprehensive study on venous endovascular management and stenting in deep veins occlusion and stenosis: A review

Javad Salimi1, Fatemeh Chinisaz2, Seyed Amir Miratashi Yazdi1

  • 1Department of Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Surgery Open Science
|May 1, 2024
PubMed

Insights

Venous stenting is a promising treatment for post-thrombotic syndrome (PTS) and non-thrombotic iliac vein lesions (NIVL). This review synthesizes current evidence to guide future protocol development for venous stenting in these conditions.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Medical Device Technology

Background:

  • Deep venous disease encompasses post-thrombotic syndrome (PTS) and non-thrombotic iliac vein lesions (NIVL).
  • Venous hypertension, caused by stenosis or obstruction, is the primary driver of symptoms in PTS and NIVL.
  • Venous stenting presents a minimally invasive treatment option for NIVL and PTS with high patency rates.

Purpose of the Study:

  • To comprehensively review influencing factors, diagnostic imaging, stent characteristics, and interventions for venous stenting in PTS and NIVL.
  • To identify challenges and analyze outcomes related to venous stenting in patients with PTS and NIVL.
  • To provide insights for developing validated protocols and guidelines for venous stenting in deep venous disease.

Main Methods:

  • Systematic review of published literature from 2008 to 2023.
  • Keywords used: "venous stenting", "PTS", "NIVL", "occlusion", and "stenosis".
  • Databases searched: PubMed, MEDLINE, and Google Scholar.

Main Results:

  • Analysis of 476 studies focusing on patency rates, complications, and quality of life.
  • Significant variability in approaches and outcomes observed.
  • Absence of a validated protocol or guideline for venous stenting in PTS and NIVL patients.

Conclusions:

  • Current literature highlights the potential of venous stenting for PTS and NIVL.
  • The lack of standardized protocols necessitates further research and guideline development.
  • This review offers a foundation for researchers aiming to establish best practices in venous stenting.
Abstract

Keywords:
OcclusionStenosisVenous stent

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