Two Year Outcome After Chronic Iliac Vein Occlusion Recanalisation Using the Vici Venous Stent
The aim was to assess two year outcomes with placement of the Vici Venous Stent® in patients with chronic iliofemoral venous occlusions (complete blockage). This was a retrospective single centre study comprising patients treated with the Vici Venous Stent for venographically verified iliofemoral ve...
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| Veröffentlicht in: | European journal of vascular and endovascular surgery 2018-11, Vol.56 (5), p.710-718 |
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| creator | Black, Stephen Gwozdz, Adam Karunanithy, Narayan Silickas, Justinas Breen, Karen Hunt, Beverley Smith, Alberto Cohen, Ander Saha, Prakash |
| description | The aim was to assess two year outcomes with placement of the Vici Venous Stent® in patients with chronic iliofemoral venous occlusions (complete blockage).
This was a retrospective single centre study comprising patients treated with the Vici Venous Stent for venographically verified iliofemoral venous occlusion and post-thrombotic syndrome (Villalta score ≥ 5 points) at least 12 months after acute deep vein thrombosis. Venography and intravascular ultrasound were used peri-operatively; duplex ultrasound was used to assess stent patency during follow up.
Eighty-eight patients (101 limbs) had stent placement between March 2014 and October 2016. Median pre-treatment Villalta score was 14 (range 5–33). Stenting extended across the inguinal ligament in 63 limbs (62%) in order to land in a healthy venous segment. Six patients (7%) required endophlebectomy and fistula creation. Median imaging follow up was 21 months (range 0–41 months). Primary, assisted primary and secondary patency rates at one year were 59%, 78%, and 87%, respectively, and two years 51%, 73%, and 82%, respectively. Forty-three limbs (43%) had re-intervention (lysis, venoplasty, and/or placement of stent) during follow up; median time to re-intervention was 32 days (range 0–520 days). At 24 months, 37 of 53 limbs (70%) with available Villalta assessment showed clinically significant improvement (>30% reduction of baseline score). Villalta scores at the 6, 12, and 24 month clinical follow up were significantly lower than before stenting (p |
| doi_str_mv | 10.1016/j.ejvs.2018.07.014 |
| format | Article |
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This was a retrospective single centre study comprising patients treated with the Vici Venous Stent for venographically verified iliofemoral venous occlusion and post-thrombotic syndrome (Villalta score ≥ 5 points) at least 12 months after acute deep vein thrombosis. Venography and intravascular ultrasound were used peri-operatively; duplex ultrasound was used to assess stent patency during follow up.
Eighty-eight patients (101 limbs) had stent placement between March 2014 and October 2016. Median pre-treatment Villalta score was 14 (range 5–33). Stenting extended across the inguinal ligament in 63 limbs (62%) in order to land in a healthy venous segment. Six patients (7%) required endophlebectomy and fistula creation. Median imaging follow up was 21 months (range 0–41 months). Primary, assisted primary and secondary patency rates at one year were 59%, 78%, and 87%, respectively, and two years 51%, 73%, and 82%, respectively. Forty-three limbs (43%) had re-intervention (lysis, venoplasty, and/or placement of stent) during follow up; median time to re-intervention was 32 days (range 0–520 days). At 24 months, 37 of 53 limbs (70%) with available Villalta assessment showed clinically significant improvement (>30% reduction of baseline score). Villalta scores at the 6, 12, and 24 month clinical follow up were significantly lower than before stenting (p < .001, all time points). In a subset analyses of limbs with stenting terminating above and below the inguinal ligament, secondary cumulative patency rates at 24 months were 90% and 79%, respectively; clinical outcome showed 58% vs. 73% of limbs with clinically significant improvement, respectively. There was no statistically significant difference in patency or clinical outcomes.
The Vici Venous Stent is associated with a good secondary patency rate and durable and substantial symptomatic resolution in patients with chronic post-thrombotic occlusions, regardless of whether stents extended beneath the inguinal ligament.</description><identifier>ISSN: 1078-5884</identifier><identifier>EISSN: 1532-2165</identifier><identifier>DOI: 10.1016/j.ejvs.2018.07.014</identifier><identifier>PMID: 30139572</identifier><language>eng</language><publisher>England: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Angioplasty, Balloon - adverse effects ; Chronic occlusion ; Endovascular Procedures - methods ; Female ; Humans ; Iliac Vein - diagnostic imaging ; Iliac Vein - surgery ; Inguinal ligament ; Male ; Middle Aged ; Post-thrombotic syndrome ; Postthrombotic Syndrome - surgery ; Stents ; Treatment Outcome ; Vascular Patency - physiology ; Venous stent ; Young Adult</subject><ispartof>European journal of vascular and endovascular surgery, 2018-11, Vol.56 (5), p.710-718</ispartof><rights>2018</rights><rights>Copyright © 2018. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-78894d8c37bf86720af1ffeee30916b23775b485a16285a12a6d3e67de294eff3</citedby><cites>FETCH-LOGICAL-c466t-78894d8c37bf86720af1ffeee30916b23775b485a16285a12a6d3e67de294eff3</cites><orcidid>0000-0002-9509-2870</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1078588418304416$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30139572$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Black, Stephen</creatorcontrib><creatorcontrib>Gwozdz, Adam</creatorcontrib><creatorcontrib>Karunanithy, Narayan</creatorcontrib><creatorcontrib>Silickas, Justinas</creatorcontrib><creatorcontrib>Breen, Karen</creatorcontrib><creatorcontrib>Hunt, Beverley</creatorcontrib><creatorcontrib>Smith, Alberto</creatorcontrib><creatorcontrib>Cohen, Ander</creatorcontrib><creatorcontrib>Saha, Prakash</creatorcontrib><title>Two Year Outcome After Chronic Iliac Vein Occlusion Recanalisation Using the Vici Venous Stent</title><title>European journal of vascular and endovascular surgery</title><addtitle>Eur J Vasc Endovasc Surg</addtitle><description>The aim was to assess two year outcomes with placement of the Vici Venous Stent® in patients with chronic iliofemoral venous occlusions (complete blockage).
This was a retrospective single centre study comprising patients treated with the Vici Venous Stent for venographically verified iliofemoral venous occlusion and post-thrombotic syndrome (Villalta score ≥ 5 points) at least 12 months after acute deep vein thrombosis. Venography and intravascular ultrasound were used peri-operatively; duplex ultrasound was used to assess stent patency during follow up.
Eighty-eight patients (101 limbs) had stent placement between March 2014 and October 2016. Median pre-treatment Villalta score was 14 (range 5–33). Stenting extended across the inguinal ligament in 63 limbs (62%) in order to land in a healthy venous segment. Six patients (7%) required endophlebectomy and fistula creation. Median imaging follow up was 21 months (range 0–41 months). Primary, assisted primary and secondary patency rates at one year were 59%, 78%, and 87%, respectively, and two years 51%, 73%, and 82%, respectively. Forty-three limbs (43%) had re-intervention (lysis, venoplasty, and/or placement of stent) during follow up; median time to re-intervention was 32 days (range 0–520 days). At 24 months, 37 of 53 limbs (70%) with available Villalta assessment showed clinically significant improvement (>30% reduction of baseline score). Villalta scores at the 6, 12, and 24 month clinical follow up were significantly lower than before stenting (p < .001, all time points). In a subset analyses of limbs with stenting terminating above and below the inguinal ligament, secondary cumulative patency rates at 24 months were 90% and 79%, respectively; clinical outcome showed 58% vs. 73% of limbs with clinically significant improvement, respectively. There was no statistically significant difference in patency or clinical outcomes.
The Vici Venous Stent is associated with a good secondary patency rate and durable and substantial symptomatic resolution in patients with chronic post-thrombotic occlusions, regardless of whether stents extended beneath the inguinal ligament.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty, Balloon - adverse effects</subject><subject>Chronic occlusion</subject><subject>Endovascular Procedures - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Iliac Vein - diagnostic imaging</subject><subject>Iliac Vein - surgery</subject><subject>Inguinal ligament</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Post-thrombotic syndrome</subject><subject>Postthrombotic Syndrome - surgery</subject><subject>Stents</subject><subject>Treatment Outcome</subject><subject>Vascular Patency - physiology</subject><subject>Venous stent</subject><subject>Young Adult</subject><issn>1078-5884</issn><issn>1532-2165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtr3DAURkVpaF79A10ULbuxq4f1MHQThrwgMJBkBrqp0MhXjQaPnErylPz72EzaZTZ6wPk-7j0IfaGkpoTK79satvtcM0J1TVRNaPMBnVDBWcWoFB-nN1G6Elo3x-g05y0hRFAuPqFjTihvhWIn6Nfj3wH_BJvwcixu2AG-8AUSXjylIQaHb_tgHV5DiHjpXD_mMER8D85G24dsy_xd5RB_4_IEeB1cmOA4jBk_FIjlHB1522f4_HafodXV5ePiprpbXt8uLu4q10hZKqV123TacbXxWipGrKfeAwAnLZUbxpUSm0YLSyWbT2Zlx0GqDljbgPf8DH079D6n4c8IuZhdyA763kaYhjGMtJwTwRSdUHZAXRpyTuDNcwo7m14MJWb2arZm9mpmr4YoM3mdQl_f-sfNDrr_kX8iJ-DHAYBpy32AZLILEB10IYErphvCe_2v0oqJAw</recordid><startdate>201811</startdate><enddate>201811</enddate><creator>Black, Stephen</creator><creator>Gwozdz, Adam</creator><creator>Karunanithy, Narayan</creator><creator>Silickas, Justinas</creator><creator>Breen, Karen</creator><creator>Hunt, Beverley</creator><creator>Smith, Alberto</creator><creator>Cohen, Ander</creator><creator>Saha, Prakash</creator><general>Elsevier B.V</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9509-2870</orcidid></search><sort><creationdate>201811</creationdate><title>Two Year Outcome After Chronic Iliac Vein Occlusion Recanalisation Using the Vici Venous Stent</title><author>Black, Stephen ; Gwozdz, Adam ; Karunanithy, Narayan ; Silickas, Justinas ; Breen, Karen ; Hunt, Beverley ; Smith, Alberto ; Cohen, Ander ; Saha, Prakash</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-78894d8c37bf86720af1ffeee30916b23775b485a16285a12a6d3e67de294eff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angioplasty, Balloon - adverse effects</topic><topic>Chronic occlusion</topic><topic>Endovascular Procedures - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Iliac Vein - diagnostic imaging</topic><topic>Iliac Vein - surgery</topic><topic>Inguinal ligament</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Post-thrombotic syndrome</topic><topic>Postthrombotic Syndrome - surgery</topic><topic>Stents</topic><topic>Treatment Outcome</topic><topic>Vascular Patency - physiology</topic><topic>Venous stent</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Black, Stephen</creatorcontrib><creatorcontrib>Gwozdz, Adam</creatorcontrib><creatorcontrib>Karunanithy, Narayan</creatorcontrib><creatorcontrib>Silickas, Justinas</creatorcontrib><creatorcontrib>Breen, Karen</creatorcontrib><creatorcontrib>Hunt, Beverley</creatorcontrib><creatorcontrib>Smith, Alberto</creatorcontrib><creatorcontrib>Cohen, Ander</creatorcontrib><creatorcontrib>Saha, Prakash</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of vascular and endovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Black, Stephen</au><au>Gwozdz, Adam</au><au>Karunanithy, Narayan</au><au>Silickas, Justinas</au><au>Breen, Karen</au><au>Hunt, Beverley</au><au>Smith, Alberto</au><au>Cohen, Ander</au><au>Saha, Prakash</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Two Year Outcome After Chronic Iliac Vein Occlusion Recanalisation Using the Vici Venous Stent</atitle><jtitle>European journal of vascular and endovascular surgery</jtitle><addtitle>Eur J Vasc Endovasc Surg</addtitle><date>2018-11</date><risdate>2018</risdate><volume>56</volume><issue>5</issue><spage>710</spage><epage>718</epage><pages>710-718</pages><issn>1078-5884</issn><eissn>1532-2165</eissn><abstract>The aim was to assess two year outcomes with placement of the Vici Venous Stent® in patients with chronic iliofemoral venous occlusions (complete blockage).
This was a retrospective single centre study comprising patients treated with the Vici Venous Stent for venographically verified iliofemoral venous occlusion and post-thrombotic syndrome (Villalta score ≥ 5 points) at least 12 months after acute deep vein thrombosis. Venography and intravascular ultrasound were used peri-operatively; duplex ultrasound was used to assess stent patency during follow up.
Eighty-eight patients (101 limbs) had stent placement between March 2014 and October 2016. Median pre-treatment Villalta score was 14 (range 5–33). Stenting extended across the inguinal ligament in 63 limbs (62%) in order to land in a healthy venous segment. Six patients (7%) required endophlebectomy and fistula creation. Median imaging follow up was 21 months (range 0–41 months). Primary, assisted primary and secondary patency rates at one year were 59%, 78%, and 87%, respectively, and two years 51%, 73%, and 82%, respectively. Forty-three limbs (43%) had re-intervention (lysis, venoplasty, and/or placement of stent) during follow up; median time to re-intervention was 32 days (range 0–520 days). At 24 months, 37 of 53 limbs (70%) with available Villalta assessment showed clinically significant improvement (>30% reduction of baseline score). Villalta scores at the 6, 12, and 24 month clinical follow up were significantly lower than before stenting (p < .001, all time points). In a subset analyses of limbs with stenting terminating above and below the inguinal ligament, secondary cumulative patency rates at 24 months were 90% and 79%, respectively; clinical outcome showed 58% vs. 73% of limbs with clinically significant improvement, respectively. There was no statistically significant difference in patency or clinical outcomes.
The Vici Venous Stent is associated with a good secondary patency rate and durable and substantial symptomatic resolution in patients with chronic post-thrombotic occlusions, regardless of whether stents extended beneath the inguinal ligament.</abstract><cop>England</cop><pub>Elsevier B.V</pub><pmid>30139572</pmid><doi>10.1016/j.ejvs.2018.07.014</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-9509-2870</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Angioplasty, Balloon - adverse effects Chronic occlusion Endovascular Procedures - methods Female Humans Iliac Vein - diagnostic imaging Iliac Vein - surgery Inguinal ligament Male Middle Aged Post-thrombotic syndrome Postthrombotic Syndrome - surgery Stents Treatment Outcome Vascular Patency - physiology Venous stent Young Adult |
| title | Two Year Outcome After Chronic Iliac Vein Occlusion Recanalisation Using the Vici Venous Stent |
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