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.

Novel compliant scaffold with specific design for venous system

Veroux, Pierfrancesco;Giaquinta, Alessia;Virgilio, Carla;Veroux, Massimiliano
2018

Abstract

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.
Angioplasty; Endovascular procedures; Tissue scaffolds; Venous insufficiency; Surgery; Cardiology and Cardiovascular Medicine
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/20.500.11769/360808
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