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Region Hovedstaden - en del af Københavns Universitetshospital
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Contralateral deep vein thrombosis after stenting across the iliocaval confluence in chronic venous disease - A systematic review

Publikation: Bidrag til tidsskriftReviewForskningpeer review

DOI

  1. European College of Phlebology guideline for truncal ablation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Thrombus age is ideally measured by history or MRV prior to thrombus removal

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  4. Which criteria demand additive stenting during catheter-directed thrombolysis?

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Indications for stenting during thrombolysis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  • Luis Duarte-Gamas
  • João P Rocha-Neves
  • António Pereira-Neves
  • Marina Dias-Neto
  • Niels Baekgaard
Vis graf over relationer

Objective: Stenting of the iliac veins is increasingly considered in the presence of symptomatic obstructive chronic lesions in the iliac vein segment. However, it is often necessary to extend the stented zone into the inferior vena cava, increasing the risk of contralateral iliac vein thrombosis. This study aims to review the current literature concerning the incidence of contralateral deep vein thrombosis after stenting across the iliocaval confluence. Methods: A systematic review from potentially relevant published articles reporting contralateral deep vein thrombosis after iliac venous stenting between January 2007 and February 2019 was performed. Results: A total of 764 references were retrieved initially. Twelve studies reporting events of contralateral deep vein thrombosis were selected for review, with a total of 1864 patients. Contralateral deep vein thrombosis incidence varied between 0% and 15.6%. The post-interventional and follow-up anticoagulation regimens were heterogeneous between studies. The decision to maintain patients on anticoagulation and the duration of treatment was based on the presence of comorbidities, hypercoagulable states, post-thrombotic syndrome and history of recurrent deep vein thrombosis. Patients with non-thrombotic iliac vein lesions were either anticoagulated for three or six months after stenting or received no anticoagulation. Patients with post-thrombotic syndrome were anticoagulated for longer periods. Most studies (eight studies) used an oral vitamin K antagonist agent. The data on compliance with anticoagulation treatment is scarce and few references present data on whether contralateral deep vein thrombosis occurred during anticoagulation treatment. The use of antiplatelet agents in addition to the anticoagulant treatment in the follow-up period was also variable. Conclusion: The incidence of contralateral deep vein thrombosis due to iliac vein jailing is not negligible and reported being as high as 15.6%. Large-scale studies on the ideal antithrombotic treatment and its impact are necessary. It is possible that patients with stent crossing the iliocaval confluence might benefit from long-term antithrombotic treatment.

OriginalsprogEngelsk
TidsskriftPhlebology
Vol/bind35
Udgave nummer4
Sider (fra-til)221-230
Antal sider10
ISSN1433-3031
DOI
StatusUdgivet - maj 2020

ID: 59373125