Endovascular versus medical treatment of venous compression syndrome of the iliac vein - a systematic review.

Bashar, Khalid, Shalan, Ahmed, Sharafat Ali, Sana, Tang, Tjun and Tiwari, Alok (2020) Endovascular versus medical treatment of venous compression syndrome of the iliac vein - a systematic review. VASA. Zeitschrift fur Gefasskrankheiten. pp. 1-8. ISSN 0301-1526. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: https://econtent.hogrefe.com/doi/abs/10.1024/0301-...

Abstract

The treatment of non-thrombotic iliac vein lesions (NIVL) remains debatable with many advocating conservative treatments, whilst others offering venous stenting. The objective of this review was to systematically assess the treatment options for symptomatic iliac vein compression syndrome (IVCS) in patients without evidence of thrombotic disease at the time of diagnosis. An online search of published literature looking for randomised controlled trials and observational studies that evaluated the treatment for symptomatic NIVL was performed. Nine studies were included with a total 953 patients of which 782 patients had NIVL. Patency rates ranged between 94.8%-100% in the first month, 88.2%-94.1% in six months and 73.4%-98% in 12 months, in patients with NIVL post stenting. Longer follow-up of up to 5 years shows promising patency rates of 94% in patients with IVCS. Patients with IVCS are likely to benefit from a combination of endovenous treatment at the time of diagnosis including stent placement to maintain lumen patency and prevent recurrent deep venpus thrombosis and/or postthrombotic syndrome.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WG Cardiovascular system. Cardiology
Divisions: Planned IP Care > Vascular
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Depositing User: Mrs Yolande Brookes
Date Deposited: 16 Oct 2020 13:16
Last Modified: 16 Oct 2020 13:16
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3549

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