Interventional treatment for post-thrombotic chronic venous obstruction: Progress and challenges
Journal of Vascular Surgery: Venous and Lymphatic Disorders, cilt.12, sa.5, 2024 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 12 Sayı: 5
- Basım Tarihi: 2024
- Doi Numarası: 10.1016/j.jvsv.2024.101910
- Dergi Adı: Journal of Vascular Surgery: Venous and Lymphatic Disorders
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Anahtar Kelimeler: Chronic venous obstruction, Post-thrombotic syndrome, Venous stenting, Patient selection, Procedural techniques
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Chronic venous obstruction, including nonthrombotic iliac vein lesions and post-thrombotic syndrome, presents a significant burden on patients' quality of life and health care systems. Venous recanalization and stenting have emerged as promising minimally invasive approaches, yet challenges in patient selection, procedural techniques, and long-term outcomes persist. This review synthesizes current knowledge on the interventional treatment of post-thrombotic syndrome, focusing on the evolution of endovascular techniques and stenting. Patient selection criteria, procedural details, and the characteristics of dedicated venous stents are discussed. Particular emphasis is given to the role of inflow and other anatomical considerations, along with postoperative management protocols for an optimal long-term outcome.