Chronic iliac vein occlusion: midterm results of endovascular recanalization.
(2009) In Journal of Endovascular Therapy 16(4). p.483-491- Abstract
- PURPOSE:To evaluate patency and clinical outcome in patients treated with endovascular recanalization and stent placement for chronic iliac vein occlusions. METHODS:During a 14-year period (1994-2008), 59 (38 women; median age 39 years) of 62 patients with chronic occlusion of the iliac vein segment in 66 limbs were successfully treated with endovascular recanalization and stent placement. A prospectively maintained database was analyzed retrospectively to obtain information on clinical details, endovascular techniques, and outcome. RESULTS:Three (5%) procedures failed for technical reasons. Three (5%) complications occurred, 2 (3%) of which were perforations requiring transfusion and procedure termination. Initial clinical success after 6... (More)
- PURPOSE:To evaluate patency and clinical outcome in patients treated with endovascular recanalization and stent placement for chronic iliac vein occlusions. METHODS:During a 14-year period (1994-2008), 59 (38 women; median age 39 years) of 62 patients with chronic occlusion of the iliac vein segment in 66 limbs were successfully treated with endovascular recanalization and stent placement. A prospectively maintained database was analyzed retrospectively to obtain information on clinical details, endovascular techniques, and outcome. RESULTS:Three (5%) procedures failed for technical reasons. Three (5%) complications occurred, 2 (3%) of which were perforations requiring transfusion and procedure termination. Initial clinical success after 6 months was achieved in 49 (83%) of the 59 patients successfully treated initially. Primary patency after a median imaging follow-up of 25 months was 67% (44/66), assisted primary patency was 75% (49/66), and secondary patency was 79% (52/66). Fifteen (23%) of 66 limbs were asymptomatic after a median clinical follow-up of 32 months, 34 (52%) limbs were improved, 13 (20%) were unchanged, and 4 (6%) were worse compared to before intervention. Actuarial primary, assisted primary, and secondary patency rates using Kaplan-Meier survival analysis were 70%, 73%, and 80%, respectively, at 5 years. CONCLUSION:Endovascular recanalization and stent placement is a safe and effective treatment for occluded iliac veins and adjacent segments. Clinical midterm results are encouraging. Recanalized and stented segments remain patent in the majority of patients after 2 years. Endovascular treatment can ease symptoms and prevent further deterioration of patients with post-thrombotic syndrome. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1469420
- author
- Kölbel, Tilo LU ; Lindh, Mats LU ; Åkesson, Michael LU ; Wasselius, Johan LU ; Gottsäter, Anders LU and Ivancev, Krassi LU
- organization
- publishing date
- 2009
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Endovascular Therapy
- volume
- 16
- issue
- 4
- pages
- 483 - 491
- publisher
- International Society of Endovascular Specialists
- external identifiers
-
- wos:000269463900013
- pmid:19702343
- scopus:70350167147
- pmid:19702343
- ISSN
- 1545-1550
- DOI
- 10.1583/09-2719.1
- language
- English
- LU publication?
- yes
- id
- 316b9b67-8734-4973-9fd4-bb7ec8fa63fa (old id 1469420)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/19702343?dopt=Abstract
- date added to LUP
- 2016-04-04 07:24:56
- date last changed
- 2022-04-23 08:13:09
@article{316b9b67-8734-4973-9fd4-bb7ec8fa63fa,
abstract = {{PURPOSE:To evaluate patency and clinical outcome in patients treated with endovascular recanalization and stent placement for chronic iliac vein occlusions. METHODS:During a 14-year period (1994-2008), 59 (38 women; median age 39 years) of 62 patients with chronic occlusion of the iliac vein segment in 66 limbs were successfully treated with endovascular recanalization and stent placement. A prospectively maintained database was analyzed retrospectively to obtain information on clinical details, endovascular techniques, and outcome. RESULTS:Three (5%) procedures failed for technical reasons. Three (5%) complications occurred, 2 (3%) of which were perforations requiring transfusion and procedure termination. Initial clinical success after 6 months was achieved in 49 (83%) of the 59 patients successfully treated initially. Primary patency after a median imaging follow-up of 25 months was 67% (44/66), assisted primary patency was 75% (49/66), and secondary patency was 79% (52/66). Fifteen (23%) of 66 limbs were asymptomatic after a median clinical follow-up of 32 months, 34 (52%) limbs were improved, 13 (20%) were unchanged, and 4 (6%) were worse compared to before intervention. Actuarial primary, assisted primary, and secondary patency rates using Kaplan-Meier survival analysis were 70%, 73%, and 80%, respectively, at 5 years. CONCLUSION:Endovascular recanalization and stent placement is a safe and effective treatment for occluded iliac veins and adjacent segments. Clinical midterm results are encouraging. Recanalized and stented segments remain patent in the majority of patients after 2 years. Endovascular treatment can ease symptoms and prevent further deterioration of patients with post-thrombotic syndrome.}},
author = {{Kölbel, Tilo and Lindh, Mats and Åkesson, Michael and Wasselius, Johan and Gottsäter, Anders and Ivancev, Krassi}},
issn = {{1545-1550}},
language = {{eng}},
number = {{4}},
pages = {{483--491}},
publisher = {{International Society of Endovascular Specialists}},
series = {{Journal of Endovascular Therapy}},
title = {{Chronic iliac vein occlusion: midterm results of endovascular recanalization.}},
url = {{http://dx.doi.org/10.1583/09-2719.1}},
doi = {{10.1583/09-2719.1}},
volume = {{16}},
year = {{2009}},
}