[Endovascular Recanalization of Chronic Venous Outflow Obstructions]. / Endovenöse Rekanalisationen von chronischen Beckenvenenverschlüssen.
Dtsch Med Wochenschr
; 144(7): 478-483, 2019 04.
Article
en De
| MEDLINE
| ID: mdl-30925604
ABSTRACT
Approximately 60â% of patients with acute iliofemoral deep vein thrombosis recover without further symptoms. However, 40â% will have some degree of post-thrombotic syndrome (PTS) and 4â% will develop severe PTS.âPTS is the most common complication; it reduces quality of life and increases DVT-related costs. The clinical symptoms and severity of PTS may vary; the most common symptoms include edema, pain, hyperpigmentation, lipodermatosclerosis, and ulceration. PTS is based on the principle of outflow obstruction, may be caused by venous hypertension, and may lead to valvular damage and venous reflux or insufficiency. A significant lumen reduction within the iliac vein system is defined by an aspect ratio ≥â2. Recent technical developments and new dedicated venous stent techniques now give the opportunity to recanalize even complex venous outflow obstructions. First in man safety and efficacy data are very promising for the new dedicated venous stents, but long-term data are still missing.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Cateterismo Periférico
/
Síndrome Postrombótico
/
Procedimientos Endovasculares
Límite:
Humans
Idioma:
De
Año:
2019
Tipo del documento:
Article