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Tytuł:
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A clinical guide to deep venous stenting for chronic iliofemoral venous obstruction.
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Autorzy:
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Taha MAH; Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, Charing Cross Hospital, London, United Kingdom; Department of Vascular and Endovascular Surgery, Assiut University Hospitals, Faculty of Medicine, Assiut University, Assiut, Egypt.
Busuttil A; Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, Charing Cross Hospital, London, United Kingdom.
Bootun R; Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, Charing Cross Hospital, London, United Kingdom.
Thabet BAH; Department of Vascular and Endovascular Surgery, Assiut University Hospitals, Faculty of Medicine, Assiut University, Assiut, Egypt.
Badawy AEH; Department of Vascular and Endovascular Surgery, Assiut University Hospitals, Faculty of Medicine, Assiut University, Assiut, Egypt.
Hassan HA; Department of Vascular and Endovascular Surgery, Assiut University Hospitals, Faculty of Medicine, Assiut University, Assiut, Egypt.
Shalhoub J; Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, Charing Cross Hospital, London, United Kingdom; Imperial Vascular Unit, Imperial College Healthcare NHS Trust, London, United Kingdom.
Davies AH; Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, Charing Cross Hospital, London, United Kingdom; Imperial Vascular Unit, Imperial College Healthcare NHS Trust, London, United Kingdom. Electronic address: .
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Źródło:
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Journal of vascular surgery. Venous and lymphatic disorders [J Vasc Surg Venous Lymphat Disord] 2022 Jan; Vol. 10 (1), pp. 258-266.e1. Date of Electronic Publication: 2021 May 18.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't; Review
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Język:
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English
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Imprint Name(s):
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Original Publication: New York, NY : Elsevier Inc., c2013-
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MeSH Terms:
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Stents*
Femoral Vein/*surgery
Iliac Vein/*surgery
Vascular Diseases/*surgery
Chronic Disease ; Endovascular Procedures/methods ; Humans ; Practice Guidelines as Topic
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Grant Information:
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United Kingdom DH_ Department of Health
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Contributed Indexing:
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Keywords: Catheter-directed lysis; DVT; Endovenous; May-Thurner syndrome; Post-thrombotic syndrome; Thrombolysis; Venous stent
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Entry Date(s):
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Date Created: 20210521 Date Completed: 20220303 Latest Revision: 20220303
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Update Code:
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20240105
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DOI:
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10.1016/j.jvsv.2020.12.087
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PMID:
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34020107
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Background: An increase in endovenous interventions for deep venous pathologies has been observed. This article aims to provide an overview of the role of venous stenting in the management of chronic conditions affecting the deep venous system of the lower limbs, with a focus on intervention relating to the vena cava and iliofemoral venous segments.
Methods: An overview of the literature on the minimally invasive venous stenting procedures that are being increasingly used in the management of chronic conditions affecting the deep venous system of the lower limbs.
Results: We discuss key areas of interest to a venous specialist practicing in this area, including diagnostic imaging in chronic deep venous disease, with a focus on the use of intravascular ultrasound examination in this context; the treatment of chronic venous outflow obstruction, including the rationale and structural indications for stenting, current guidance regarding stent placement, and fundamental points to consider during decision-making (endophlebectomy and stenting, stenting across the inguinal ligament, optimal sizing of venous stents, extension of venous stenting to beyond the common femoral vein confluence, the role of thrombolysis useful in chronic venous disease, and arteriovenous fistulae); outcomes and initial reports of stenting; and the future of venous stents.
Conclusions: Deep venous stenting has become a key treatment option for chronic (thrombotic or nonthrombotic) obstructive venous disease. Dedicated venous stents and intravascular ultrasound examination represent important technological advances in the minimally invasive treatment of symptomatic chronic deep venous obstruction, which previously required open surgical reconstruction.
(Crown Copyright © 2021. Published by Elsevier Inc. All rights reserved.)
