Interventional treatment for post-thrombotic chronic venous obstruction: Progress and challenges.

Autor: Barbati ME; Clinic of Vascular and Endovascular Surgery, RWTH Aachen University Hospital, Aachen, Germany. Electronic address: mbarbati@ukaachen.de., Avgerinos ED; Athens Medical Center, Clinic of Vascular and Endovascular Surgery, Athens, Greece., Baccellieri D; Vascular Surgery Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy., Doganci S; Department of Cardiovascular Surgery, University of Health Sciences, Ankara, Turkey., Lichtenberg M; Department Angiology, Klinikum Hochsauerland, Arnsberg, Germany., Jalaie H; Clinic of Vascular and Endovascular Surgery, RWTH Aachen University Hospital, Aachen, Germany.
Jazyk: angličtina
Zdroj: Journal of vascular surgery. Venous and lymphatic disorders [J Vasc Surg Venous Lymphat Disord] 2024 Sep; Vol. 12 (5), pp. 101910. Date of Electronic Publication: 2024 May 20.
DOI: 10.1016/j.jvsv.2024.101910
Abstrakt: Chronic venous obstruction, including nonthrombotic iliac vein lesions and post-thrombotic syndrome, presents a significant burden on patients' quality of life and health care systems. Venous recanalization and stenting have emerged as promising minimally invasive approaches, yet challenges in patient selection, procedural techniques, and long-term outcomes persist. This review synthesizes current knowledge on the interventional treatment of post-thrombotic syndrome, focusing on the evolution of endovascular techniques and stenting. Patient selection criteria, procedural details, and the characteristics of dedicated venous stents are discussed. Particular emphasis is given to the role of inflow and other anatomical considerations, along with postoperative management protocols for an optimal long-term outcome.
Competing Interests: Disclosures None.
(Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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