قصور الأوردة المزمن مع انسداد الأوردة الحرقفية الكبيرة عندما لم يُسيطر العلاج المحافظ على الأعراض

References

DOI: 10.1016/j.jscai.2025.103729

In patients with symptomatic chronic deep vein obstruction/stenosis, the SCAI guideline panel suggests venoplasty and/or stenting of iliocaval veins plus conservative management rather than conservative management alone (conditional recommendation, low certainty of evidence).

There is overall consensus that the decision for iliocaval stenting is based on the presence of at least 50% lumen area stenosis by IVUS accompanied by the presence of severe, lifestyle-limiting clinical symptoms.

Use of imaging with IVUS is strongly encouraged to achieve appropriate stent sizing, expansion, and wall apposition.

The results demonstrated a possible increase in wound healing rates (90% in the stent group vs 40% for conservative therapy) and possible improvement in symptoms (VCSS MD, 7 lower after stenting vs 1 lower in the group receiving usual care).