Clinical research study
Iliac vein stenting and saphenous ablation
The clinical outcome of a one-stop procedure for patients with iliac vein compression combined with varicose veins

https://doi.org/10.1016/j.jvsv.2018.06.012Get rights and content
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Abstract

Background

Primary iliac vein compression syndrome (IVCS) often is manifested with varicose veins (VVs), but the treatment of patients with IVCS combined with VVs remains unclear. The aim of this study was to investigate the outcome of a one-stop procedure for patients with IVCS and VVs.

Methods

The 32 enrolled patients underwent iliac stenting first and then endovenous laser ablation for VVs. The reflux time of the femoral vein, peak reflux velocity, and mean flow velocity were measured, and the effect on quality of life was also assessed using the Aberdeen Varicose Vein Questionnaire and Venous Clinical Severity Score. All clinical data have been recorded and analyzed.

Results

The success rate of the procedures was 100%. No serious complications occurred. The Aberdeen Varicose Vein Questionnaire score and Venous Clinical Severity Score of patients were significantly lower at 1 month, 6 months, and 12 months after the procedure compared with scores before the procedure (P < .01). The reflux time and peak reflux velocity were lower at 6 and 12 months after the procedure (P < .01), and the mean flow velocity was higher at 6 and 12 months after the procedure (P < .05). The patency rate of the iliac vein stent was 100% during follow-up, and one patient (3.13%) had a restenosis without symptoms.

Conclusions

The one-stop procedure for patients with IVCS combined with VVs is a safe and effective method that might be a therapy choice for these patients.

Keywords

Iliac vein compression syndrome
Varicose veins
Iliac vein stenting
Endovenous laser ablation
One-stop procedure

Cited by (0)

This project was supported by Natural Science Foundation of Shaanxi Province, China (No. 2015JM8423).

Author conflict of interest: none.

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