Stent Versus Conservative Treatment in Patients With Deep Venous Obstruction

A Randomized Controlled Trial Comparing Venous Stenting With Conservative Treatment in Patients With Deep Venous Obstruction

Patients will be randomised between deep venous stenting or conservative management

Inclusion Criteria:

• Age >18 years
• Meet criteria for PTS or
• Patients with May Thurner syndrome on additional imaging
• Life expectancy of more than one year
• Deep venous thrombosis > 1 year
• Signed informed consent

Exclusion Criteria:

• Previous intervention of central veins (inferior vena cava, iliac veins, common femoral vein) on the affected limb
• Known pregnancy
• Inability to answer Dutch QoL questionnaires or limited communication in Dutch (written and spoken)
• Contra-indication for prolonged anticoagulant treatment
• Recent, <1 year, deep venous thrombosis or pulmonary Embolism
• Known contrast allergy
• Known dialysis or renal insufficiency needing additional preparation for injection of contrast