The effect of venoplasty and stent implantation in patients with chronic venous symptoms following deep vein thrombosis in iliofemoral segment

Deep vein thrombosis (DVT) is a common vascular condition that affects ۱ ‎to ۳ per ۱,۰۰۰ persons per year. Proximal thrombosis (including iliac arteries) is at higher risk for ‎postthrombotic syndrome (PTS)‎ . ‎ Therefore, in the present study, we investigated the effect of ‎venoplasty by stent placement in patients with chronic venous symptoms following DVT in the ‎iliofemoral segment. ‎In this cross-sectional study, patients with an age range of ۲۰ to ۷۰ years ‎who presented with chronic symptoms of iliofemoral obstructive venous lesion following DVT ‎were included in the study if satisfied. They were placed under local anesthesia with lidocaine and, ‎if necessary, by venous sedation under lower extremity venography by catheter with popliteal vein ‎surgery on the same side and placement of a sheet . ‎ Variables related to before the intervention and ‎six months after the intervention were reviewed, recorded and analyzed . Among ۲۴ patients participating in the study, ۷۰.۸% were male and ۲۹.۲% were female ‎with a mean age of ۵۱.۴۲ ± ۸.۲۷ years. There was a significant difference in pain and wound ‎condition before and ۶ months after the intervention (P <۰.۰۰۱). After the intervention, ۵۸.۳% of ‎patients were in painless condition and the frequency of patients without wounds increased from ‎‎۱۲.۵% to ۶۶.۷%. Edema changes were not significant (P = ۰.۲۹). ‎Stent implantation in patients with chronic venous symptoms following DVT in the ‎iliofemoral segment reduces pain and wound healing and is an effective, usable and practical ‎method‎.

Keywords:

Deep Vein Thrombosis , Postthrombotic Syndrome , Stent