Journal of Vascular Surgery
Volume 51, Issue 2 , Pages 401-408 , February 2010

Unexpected major role for venous stenting in deep reflux disease

Presented at the 2009 Vascular Annual Meeting, Denver, Colo.

  • Seshadri Raju, MD

      Affiliations

    • University of Mississippi Medical Center, Jackson, Miss
    • Corresponding Author InformationReprint requests: Seshadri Raju, MD, 1020 River Oaks Dr, #420, Flowood, MS 39232
    • ,
  • Rikki Darcey, BS

      Affiliations

    • River Oaks Hospital, Flowood, Miss
    • ,
  • Peter Neglén, MD, PhD

      Affiliations

    • River Oaks Hospital, Flowood, Miss

Received 8 June 2009 ,Accepted 14 August 2009.

References 

  1. Palma EC, Esperon R. [Treatment of the post-thrombophlebitic syndrome by means of internal saphenous transplants]. [Article in Spanish] Bol Soc Cir Urug. 1959;30:115–125
  2. Taheri SA, Williams J, Powell S, Cullen J, Peer R, Nowakowski P, et al. Iliocaval compression syndrome. Am J Surg. 1987;154:169–172
  3. Harris JP, Kidd J, Burnett A, Halliday P, May J. Patency of femorofemoral venous crossover grafts assessed by duplex scanning and phlebography. J Vasc Surg. 1988;8:679–682
  4. Kibbe MR, Ujiki M, Goodwin AL, Eskandari M, Yao J, Matsumura J. Iliac vein compression in an asymptomatic patient population. J Vasc Surg. 2004;39:937–943
  5. Raju S. Endovenous treatment of patients with iliac-caval venous obstruction. J Cardiovasc Surg (Torino). 2008;49:27–33
  6. Raju S, Neglen P. High prevalence of nonthrombotic iliac vein lesions in chronic venous disease: a permissive role in pathogenicity. J Vasc Surg. 2006;44:136–143discussion 144
  7. Hartung O, Loundou AD, Barthelemy P, Arnoux D, Boufi M, Alimi YS. Endovascular management of chronic disabling ilio-caval obstructive lesions: long-term results. Eur J Vasc Endovasc Surg. 2009;38:118–124
  8. Knipp BS, Ferguson E, Williams DM, Dasika NJ, Cwikiel W, Henke PK, et al. Factors associated with outcome after interventional treatment of symptomatic iliac vein compression syndrome. J Vasc Surg. 2007;46:743–749
  9. O'Sullivan GJ, Semba CP, Bittner CA, Kee ST, Razavi MK, Sze DY, et al. Endovascular management of iliac vein compression (May-Thurner) syndrome. J Vasc Interv Radiol. 2000;11:823–836
  10. Oguzkurt L, Tercan F, Ozkan U, Gulcan O. Iliac vein compression syndrome: outcome of endovascular treatment with long-term follow-up. Eur J Radiol. 2008;68:487–492
  11. Scott J, Huskisson EC. Graphic representation of pain. Pain. 1976;2:175–184
  12. Launois R, Reboul-Marty J, Henry B. Construction and validation of a quality of life questionnaire in chronic lower limb venous insufficiency (CIVIQ). Qual Life Res. 1996;5:539–554
  13. Neglén P, Raju S. Detection of outflow obstruction in chronic venous insufficiency. J Vasc Surg. 1993;17:583–589
  14. Negus D, Cockett FB. Femoral vein pressures in post-phlebitic iliac vein obstruction. Br J Surg. 1967;54:522–525
  15. Neglén P, Raju S. Intravascular ultrasound scan evaluation of the obstructed vein. J Vasc Surg. 2002;35:694–700
  16. Neglén P, Berry MA, Raju S. Endovascular surgery in the treatment of chronic primary and post-thrombotic iliac vein obstruction. Eur J Vasc Endovasc Surg. 2000;20:560–571
  17. Neglén P, Hollis KC, Olivier J, Raju S. Stenting of the venous outflow in chronic venous disease: long-term stent-related outcome, clinical, and hemodynamic result. J Vasc Surg. 2007;46:979–990
  18. Neglén P, Raju S. Balloon dilation and stenting of chronic iliac vein obstruction: technical aspects and early clinical outcome. J Endovasc Ther. 2000;7:79–91
  19. Raju S, Neglén P. Percutaneous recanalization of total occlusions of the iliac vein. J Vasc Surg. 2009;30:360–368
  20. Labropoulos N, Borge M, Pierce K, Pappas PJ. Criteria for defining significant central vein stenosis with duplex ultrasound. J Vasc Surg. 2007;46:101–107
  21. Raju S, Tackett P, Neglén P. Reinterventions for nonocclusive iliofemoral venous stent malfunctions. J Vasc Surg. 2009;49:511–518
  22. Eklöf B, Rutherford RB, Bergan JJ, Carpentier PH, Gloviczki P, Kistner RL, et al. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg. 2004;40:1248–1252
  23. Masuda EM, Kistner RL. Long-term results of venous valve reconstruction: a four- to twenty-one-year follow-up. J Vasc Surg. 1994;19:391–403
  24. Raju S, Neglén P. Clinical practice (Chronic venous insufficiency and varicose veins). N Engl J Med. 2009;360:2319–2327
  25. Neglén P, Thrasher TL, Raju S. Venous outflow obstruction: an underestimated contributor to chronic venous disease. J Vasc Surg. 2003;38:879–885
  26. Johnson BF, Manzo RA, Bergelin RO, Strandness DE. Relationship between changes in the deep venous system and the development of the postthrombotic syndrome after an acute episode of lower limb deep vein thrombosis: a one- to six-year follow-up. J Vasc Surg. 1995;21:307–312discussion 313
  27. Cockett FB, Thomas ML. The iliac compression syndrome. Br J Surg. 1965;52:816–821
  28. Cockett FB, Thomas ML, Negus D. Iliac vein compression (Its relation to iliofemoral thrombosis and the post-thrombotic syndrome). Br Med J. 1967;2:14–19
  29. May R, Thurner J. The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology. 1957;8:419–427
  30. Neglén P, Tackett TP, Raju S. Venous stenting across the inguinal ligament. J Vasc Surg. 2008;48:1255–1261
  31. Raju S, Fountain T, Neglén P, Devidas M. Axial transformation of the profunda femoris vein. J Vasc Surg. 1998;27:651–659
  32. Raju S, Fredericks R. Venous obstruction: an analysis of one hundred thirty-seven cases with hemodynamic, venographic, and clinical correlations. J Vasc Surg. 1991;14:305–313
  33. Raju S, Hollis K, Neglén P. Obstructive lesions of the inferior vena cava: clinical features and endovenous treatment. J Vasc Surg. 2006;44:820–827
  34. Barwell JR, Davies CE, Deacon J, Harvey K, Minor J, Sassano A, et al. Comparison of surgery and compression with compression alone in chronic venous ulceration (ESCHAR study): randomised controlled trial. Lancet. 2004;363:1854–1859
  35. Kalra M, Gloviczki P. Surgical treatment of venous ulcers: role of subfascial endoscopic perforator vein ligation. Surg Clin North Am. 2003;83:671–705
  36. Nelzén O, Fransson I. True long-term healing and recurrence of venous leg ulcers following SEPS combined with superficial venous surgery: a prospective study. Eur J Vasc Endovasc Surg. 2007;34:605–612
  37. Raju S, Fredericks RK, Neglén PN, Bass JD. Durability of venous valve reconstruction techniques for “primary” and postthrombotic reflux. J Vasc Surg. 1996;23:357–366discussion 366-7
  38. Raju S, Hardy JD. Technical options in venous valve reconstruction. Am J Surg. 1997;173:301–307
  39. Perrin M. Reconstructive surgery for deep venous reflux: a report on 144 cases. Cardiovasc Surg. 2000;8:246–255
  40. Raju S, Neglén P, Doolittle J, Meydrech EF. Axillary vein transfer in trabeculated postthrombotic veins. J Vasc Surg. 1999;29:1050–1062discussion 1062-4

 Competition of interest: none.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)01675-9

doi: 10.1016/j.jvs.2009.08.032

Journal of Vascular Surgery
Volume 51, Issue 2 , Pages 401-408 , February 2010

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