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

Abstract

Deep vein thrombosis (DVT) is a common vascular condition that affects 1 ‎to 3 per 1,000 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 crosssectional study, patients with an age range of 20 to 70 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 24 patients participating in the study, 70.8% were male and 29.2% were female ‎with a mean age of 51.42 ± 8.27 years. There was a significant difference in pain and wound ‎condition before and 6 months after the intervention (P <0.001). After the intervention, 58.3% of ‎patients were in painless condition and the frequency of patients without wounds increased from ‎12.5% to 66.7%. Edema changes were not significant (P = 0.29). ‎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.