Fully protruding into the inferior vena cava deployment of braided stent in the treatment of iliac compression syndrome
10.3760/cma.j.cn113855-20221213-00774
- VernacularTitle:编织型支架充分突入下腔静脉释放治疗髂静脉压迫综合征的治疗效果
- Author:
Shichai HONG
1
;
Yue LIN
;
Weifeng LU
;
Xiang HONG
;
Gang CHEN
;
Yulong HUANG
;
Yihui CHEN
;
Xinsheng XIE
;
Lixin WANG
;
Weiguo FU
Author Information
1. 复旦大学附属中山医院厦门医院血管外科，厦门 361015
- Keywords:
Vena cava,inferior;
Stents;
Iliac vein compression syndrome
- From:
Chinese Journal of General Surgery
2023;38(7):506-509
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical efficacy of metal braided stent deployed by fully protruding into the inferior vena cava for the treatment of iliac vein compression syndrome(IVCS).Methods:The clinical data of patients with IVCS treated with interwoven nitinol mesh stent protruding into the inferior vena cava and released from Jan 2018 to May 2021 in our center were retrospectively analyzed.Results:A total of 118 patients were included in this study. Among them, 7 cases were complicated with acute thrombosis, 3 cases were complicated with post thrombotic syndrome (PTS), and 108 cases were no more thrombotic iliac vein compression. The technical success rate was 100%, with an average of 2.03±0.77 stents implanted. Of the 23 ulcer patients, 18 ulcers healed after intervention, and the healing rate was 78.26%. The postoperative CEAP grade was significantly improved ( t=11.54, P<0.01), and the primary patency rate and second patency rate were 97.46% and 98.31% at 1 year after intervention. Conclusion:The fashion of fully protruding into inferior vena cava deployment in the treatment of iliac vein compressive disease has a high patency rate and satisfactory clinical efficacy.
