Evidence map›Paper›PMID 29113541›Full record

ArticlePhlebology2018

Stent extension into a single inflow vessel is a valuable option after endophlebectomy.

Timme Maj van Vuuren, Ralph Lm Kurstjens, Mark Af de Wolf, Jorinde Hh van Laanen, Cees Ha Wittens, Rick de Graaf

Abstract read
In one paragraph

Article in Phlebology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Interventional treatment for post-thrombotic chronic venous obstruction: Progress and challenges.Journal of vascular surgery. Venous and lymphatic disorders · 2024
    Review
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Timme Maj van Vuuren1 Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.
Ralph Lm Kurstjens1 Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.
Mark Af de Wolf1 Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.
Jorinde Hh van Laanen1 Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.
Cees Ha Wittens1 Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.
Rick de Graaf6 Department of Radiology, Maastricht University Medical Centre, Maastricht, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Venous stenting with an endophlebectomy and arteriovenous fistula can be performed in patients with extensive post-thrombotic changes. However, these hybrid procedures can induce restenosis, sometimes requiring stent extension, into a single inflow vessel. This study investigates the effectiveness of stenting into a single inflow vessel. Methods All evaluated patients had temporary balloon occlusion of the arteriovenous fistula to evaluate venous flow into the stents. When stent inflow was deemed insufficient, AVF closure was postponed and additional stenting was performed. Patency rates and clinical outcomes were evaluated. Results Twenty-four (38%) of 64 patients had additional stenting. The primary, assisted primary and secondary patency were 60 %, 70% and 70% respectively. Villalta score reduced by 6.1 points ( p < 0.001), and venous clinical severity score by 2.7 points ( p = 0.034). Conclusion Stenting through the femoral confluence into a single inflow vessel is a feasible bailout option if primary hybrid intervention fails with relative high patency rates and clinical improvement.

Indexed as

StentsAdultAnastomosis, SurgicalAngioplasty, BalloonFemaleGraft Occlusion, VascularHumansMaleMiddle AgedRetrospective StudiesChronic venous diseaseendovenous techniquepost-thrombotic syndromevenous obstructionvenous thromboembolism

Identifiers

PMID29113541
PMCPMC6131728

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.