Single-stage treatment with iliac vein stenting and stripping of the great saphenous vein for patients with left iliac vein compression syndrome
Summary: Background: We sought to evaluate the safety and feasibility of single-stage treatment with left iliac vein stenting and saphenous stripping in patients with left iliac vein compression (LIVC) and left great saphenous vein (GSV) incompetence. Method: s: We conducted a prospective cohort st...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Asian Journal of Surgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S101595842100275X |
| _version_ | 1818733110556098560 |
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| author | Changming Shao Jinlin Yan Naiding Zhang Liang Zhang Zhenhua Li Li Yin Zhenjie Liu |
| author_facet | Changming Shao Jinlin Yan Naiding Zhang Liang Zhang Zhenhua Li Li Yin Zhenjie Liu |
| author_sort | Changming Shao |
| collection | DOAJ |
| description | Summary: Background: We sought to evaluate the safety and feasibility of single-stage treatment with left iliac vein stenting and saphenous stripping in patients with left iliac vein compression (LIVC) and left great saphenous vein (GSV) incompetence. Method: s: We conducted a prospective cohort study of 72 patients diagnosed with LIVC and left GSV incompetence between June 2012 to Oct 2018. We evaluated the periprocedural, 30-day, and 1-year outcomes of venous clinical severity score (VCSS), Chronic Venous Insufficiency Questionnaire 2 (CIVIQ2), the success rate of stent placement, duration of intervention, length of hospital stay, duplex recurrence, and clinically visible recurrence. Results: There were 43 patients in the two-staged group and 29 patients in the single-staged group. The clinical characteristics of the two groups were similar. There were no differences between the two groups in the technical success rate, perioperative mortality, and surgical morbidity. There was no significant difference in the duplex and clinically visible recurrence. The length of hospital stay was significantly lower in the single-staged group. The single-staged group was associated with a higher complication rate of ecchymosis. There was no death, pulmonary embolism, or contrast-induced nephropathy among the patients. The 1-year primary patency rate was similar. Conclusions: Both treatment approaches were equally effective and had a high technical success rate. The single-staged group had a higher complication rate of ecchymosis due to heparin applying during the procedure. |
| first_indexed | 2024-12-17T23:44:15Z |
| format | Article |
| id | doaj.art-345659b906c44c8f8ef18abbf80452f6 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-17T23:44:15Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-345659b906c44c8f8ef18abbf80452f62022-12-21T21:28:21ZengElsevierAsian Journal of Surgery1015-95842022-01-01451257264Single-stage treatment with iliac vein stenting and stripping of the great saphenous vein for patients with left iliac vein compression syndromeChangming Shao0Jinlin Yan1Naiding Zhang2Liang Zhang3Zhenhua Li4Li Yin5Zhenjie Liu6Department of Vascular Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, 310009, ChinaDepartment of Vascular Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences (Ningbo No.2 Hospital), Ningbo, Zhejiang Province, 315010, ChinaDepartment of Vascular Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, 310009, ChinaDepartment of Vascular Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, 310009, ChinaDepartment of Vascular Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, 310009, ChinaDepartment of Vascular Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, 310009, China; Corresponding author. Department of Vascular Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.Department of Vascular Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, 310009, ChinaSummary: Background: We sought to evaluate the safety and feasibility of single-stage treatment with left iliac vein stenting and saphenous stripping in patients with left iliac vein compression (LIVC) and left great saphenous vein (GSV) incompetence. Method: s: We conducted a prospective cohort study of 72 patients diagnosed with LIVC and left GSV incompetence between June 2012 to Oct 2018. We evaluated the periprocedural, 30-day, and 1-year outcomes of venous clinical severity score (VCSS), Chronic Venous Insufficiency Questionnaire 2 (CIVIQ2), the success rate of stent placement, duration of intervention, length of hospital stay, duplex recurrence, and clinically visible recurrence. Results: There were 43 patients in the two-staged group and 29 patients in the single-staged group. The clinical characteristics of the two groups were similar. There were no differences between the two groups in the technical success rate, perioperative mortality, and surgical morbidity. There was no significant difference in the duplex and clinically visible recurrence. The length of hospital stay was significantly lower in the single-staged group. The single-staged group was associated with a higher complication rate of ecchymosis. There was no death, pulmonary embolism, or contrast-induced nephropathy among the patients. The 1-year primary patency rate was similar. Conclusions: Both treatment approaches were equally effective and had a high technical success rate. The single-staged group had a higher complication rate of ecchymosis due to heparin applying during the procedure.http://www.sciencedirect.com/science/article/pii/S101595842100275XIliac vein compressionChronic venous diseaseGreat saphenous vein incompetenceStentEndovascular treatment |
| spellingShingle | Changming Shao Jinlin Yan Naiding Zhang Liang Zhang Zhenhua Li Li Yin Zhenjie Liu Single-stage treatment with iliac vein stenting and stripping of the great saphenous vein for patients with left iliac vein compression syndrome Asian Journal of Surgery Iliac vein compression Chronic venous disease Great saphenous vein incompetence Stent Endovascular treatment |
| title | Single-stage treatment with iliac vein stenting and stripping of the great saphenous vein for patients with left iliac vein compression syndrome |
| title_full | Single-stage treatment with iliac vein stenting and stripping of the great saphenous vein for patients with left iliac vein compression syndrome |
| title_fullStr | Single-stage treatment with iliac vein stenting and stripping of the great saphenous vein for patients with left iliac vein compression syndrome |
| title_full_unstemmed | Single-stage treatment with iliac vein stenting and stripping of the great saphenous vein for patients with left iliac vein compression syndrome |
| title_short | Single-stage treatment with iliac vein stenting and stripping of the great saphenous vein for patients with left iliac vein compression syndrome |
| title_sort | single stage treatment with iliac vein stenting and stripping of the great saphenous vein for patients with left iliac vein compression syndrome |
| topic | Iliac vein compression Chronic venous disease Great saphenous vein incompetence Stent Endovascular treatment |
| url | http://www.sciencedirect.com/science/article/pii/S101595842100275X |
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