REVIEW  LATEST FRONTIERS OF HEMODYNAMICS, IMAGING AND TREATMENT OF OBSTRUCTIVE VENOUS DISEASE 

Italian Journal of Vascular and Endovascular Surgery 2018 September;25(3):277-80

DOI: 10.23736/S1824-4777.18.01355-4

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Novel compliant scaffold with specific design for venous system

Pierfrancesco VEROUX ✉, Alessia GIAQUINTA, Carla VIRGILIO, Massimiliano VEROUX

Unit of Vascular Surgery and Organ Transplantation, Department of Surgery, Catania University Hospital, Catania, Italy

Due to the poor results of balloon venoplasty, stenting is used with increasing frequency in patients with venous chronic obstructive disease. It results in improved midterm patency compared with balloon dilatation. Obstructive venous diseases, such as hypoplasia, intraluminal defects, and extrinsic compression, may have different hemodynamic effects on the venous system depending on the location, extent, severity, and lack of compensation through collateral pathways. Endovenous angioplasty with stenting of iliac vein shows a good safety profile. Recently, many new devices have been developed with the aim of providing a successful treatment of most occlusive disease of veins. Recently, internal jugular vein (IJV) stenosis has been treated using endovascular treatment (either percutaneous transluminal angioplasty or stenting), with positive results in terms of neurological outcomes and/or effects on the quality of life. Nevertheless, angioplasty of IJVs is complicated by a high rate of early stenotic recurrence, with incidence of re-stenosis between 30% and 50% of cases. Trying to address these important issues, recently many new devices have been developed with the aim of providing a successful treatment of most occlusive disease of veins.

KEY WORDS: Angioplasty - Venous insufficiency - Tissue scaffolds - Endovascular procedures