Iliac venous stenting for outflow obstruction does not significantly change the quality of life of patients with severe chronic venous insufficiency.
CEAP 5 and 6
Iliac venous stenting
chronic venous insufficiency
outflow obstruction
quality of life
Journal
JRSM cardiovascular disease
ISSN: 2048-0040
Titre abrégé: JRSM Cardiovasc Dis
Pays: England
ID NLM: 101598607
Informations de publication
Date de publication:
Historique:
received:
06
02
2019
revised:
24
09
2019
accepted:
01
11
2019
entrez:
17
12
2019
pubmed:
17
12
2019
medline:
17
12
2019
Statut:
epublish
Résumé
Percutaneous endovenous iliac stenting has emerged as a new modality in the treatment of advanced chronic venous insufficiency with outflow obstruction. However, the effect of this intervention on the quality of life remains unclear. We examined the impact of iliac venous stenting for outflow obstruction as compared to conservative medical management on the quality of life in severe chronic venous insufficiency patients. Medical records of all patients with CEAP class 5 and 6 disease (N = 172) who underwent ilio-caval venography with intravascular ultrasonography (IVUS) at a single institution over a seven-year period, were reviewed for this case-control study. Quality of life evaluation was performed utilizing the Chronic Venous Insufficiency Quality of Life Questionnaire (CIVIQ-20) one year after the index procedure. Of the 172 severe chronic venous insufficiency patients, 109 were stented and 63 patients were treated medically based on their venography and IVUS results. The indication for stenting was confirmation of IVUS determined surface area or diameter outflow stenosis of greater than 50% within the common or external iliac venous systems. Eighty patients (47%) responded with completed CIVIQ-20 questionnaires for analysis. Of these, 47 were from the stented group and 33 from the non-stented group. At least moderate persistent pain or discomfort post-procedure was reported by 20 (43%) stented group patients and 19 (58%) non-stented group patients. Scores for all the other criteria in the CIVIQ-20 were similar between the groups. The mean total CIVIQ-20 score was 45.23 and 47.13, respectively, in stented group and non-stented group patients. ( There was no significant difference in the quality of life reported by CEAP 5 and 6 patients who underwent iliac venous stenting versus those who were treated medically for presumed iliac outflow obstruction. Prospective studies are needed to determine the true value of iliac venous stenting based on IVUS criteria in the management advanced chronic venous insufficiency.
Identifiants
pubmed: 31839939
doi: 10.1177/2048004019890968
pii: 10.1177_2048004019890968
pmc: PMC6893555
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2048004019890968Commentaires et corrections
Type : CommentIn
Informations de copyright
© The Author(s) 2019.
Références
Ann Epidemiol. 2005 Mar;15(3):175-84
pubmed: 15723761
Ann Surg. 2004 Jan;239(1):118-26
pubmed: 14685109
J Vasc Surg. 2004 Dec;40(6):1248-52
pubmed: 15622385
Ann Vasc Surg. 2016 Jul;34:144-51
pubmed: 27177710
J Vasc Surg. 1995 Nov;22(5):622-8
pubmed: 7494366
J Vasc Surg. 2006 Oct;44(4):828-33
pubmed: 17012006
J Vasc Surg. 2007 Nov;46(5):979-990
pubmed: 17980284
Qual Life Res. 1996 Dec;5(6):539-54
pubmed: 8993100
Ann Vasc Surg. 2012 Feb;26(2):185-9
pubmed: 22018502
Arch Intern Med. 1995 May 22;155(10):1031-7
pubmed: 7748045
Int Angiol. 2003 Jun;22(2):172-6
pubmed: 12865883
Eur J Vasc Endovasc Surg. 2011 Aug;42(2):246-53
pubmed: 21531589
Arch Intern Med. 2002 May 27;162(10):1144-8
pubmed: 12020185
J Vasc Surg. 2003 Nov;38(5):879-85
pubmed: 14603188