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Post-thrombotic syndrome (PTS) is the most common chronic complication of deep vein thrombosis (DVT). The endovascular recanalization and stenting technique has become the gold standard treatment for medically resistant and disabling PTS.
Stent thrombosis is a significant complication of this procedure; the risk factors for thrombosis are poorly understood.
Monitoring the patency of the stent is a key component in maintaining clinical success.
Doppler ultrasound is the first-line diagnostic tool for monitoring patients with venous stents, and has the potential to allow accurate assessment of venous stent obstruction.
Absence of validated morphological and hemodynamic echodoppler criteria for the follow-up of these stents.
• Main objective: Clinical and hemodynamic results of venous recanalisations by stenting in the chronic phase
• Secondary objective (s):
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients who underwent venous recanalization by angioplasty-stenting | Patients who underwent venous recanalization by angioplasty-stenting for post-thrombotic iliofemoral syndromes from June 2014 to June 2021. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Basic demographic information | Other | Basic demographic information: age, sex, weight, height, BMI. Comorbidities: history of major bleeding, cardiovascular comorbidities, diabetes mellitus, renal failure, smoking, hormone therapy Anticoagulant and antiplatelet therapy (molecule, duration and indication, before and after intervention) Procedure data: number and type of stents implanted, diameters and lengths, name of stented venous segments Postoperative complications: bleeding complications, pelvic pain, early thrombosis, early pulmonary embolism
|
| Measure | Description | Time Frame |
|---|---|---|
| Clinical improvement | Villalta score
| 6 first month post intervention |
| Stent patency | Analyze of venous patency of each venous segment Maximum peak flow velocity (in centimetres per second) at each venous segment Location of the implanted stents Cranial and caudal extremity Total length Diameter | 6 first month post intervention |
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Inclusion Criteria:
- Disabling post-thrombotic syndrome (venous claudication) after at least 6 months of proximal deep vein thrombosis.
Exclusion Criteria:
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Population with a disabling post-thrombotic syndrome (venous claudication) after at least 6 months of proximal deep vein thrombosis.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Groupement Hospitalier Edouard Herriot | Lyon | 69437 | France |
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| ID | Term |
|---|---|
| D054070 | Postthrombotic Syndrome |
| ID | Term |
|---|---|
| D020246 | Venous Thrombosis |
| D013927 | Thrombosis |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
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|
| D002318 |
| Cardiovascular Diseases |
| D014689 | Venous Insufficiency |