Evidence map›Paper›PMID 30652160›Full record

ArticleCVIR endovascular2018

Infrainguinal inflow assessment and endovenous stent placement in iliofemoral post-thrombotic obstructions.

Ole Grøtta, Tone Enden, Gunnar Sandbæk, Gard Filip Gjerdalen, Carl-Erik Slagsvold, Dag Bay, Nils-Einar Kløw, Antonio Rosales

Abstract read
In one paragraph

Article in CVIR endovascular, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. A Systematic Review and Meta-Analysis of 12-Month Patency After Intervention for Iliofemoral Obstruction Using Dedicated or Non-Dedicated Venous Stents.Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2022
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Acute and Chronic Ilio-Femoral Venous Reconstruction.Cardiovascular and interventional radiology · 2024
    Review
  8. Interventional treatment for post-thrombotic chronic venous obstruction: Progress and challenges.Journal of vascular surgery. Venous and lymphatic disorders · 2024
    Review
  9. The role of iliac vein stent placement in pelvic venous disorder management.Journal of vascular surgery. Venous and lymphatic disorders · 2024
    Review
  10. Article
  11. Ultrasound-guided stenting in the common femoral vein for accurate stent distal landing.Journal of vascular surgery cases and innovative techniques · 2023
    Article
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

8 authors.

Ole Grøtta1Division of Radiology and Nuclear Medicine, Oslo University Hospital, PO Box 4950, Nydalen, N-0424 Oslo, Norway.ORCID 0000-0002-2053-7281
Tone Enden1Division of Radiology and Nuclear Medicine, Oslo University Hospital, PO Box 4950, Nydalen, N-0424 Oslo, Norway.
Gunnar Sandbæk1Division of Radiology and Nuclear Medicine, Oslo University Hospital, PO Box 4950, Nydalen, N-0424 Oslo, Norway.
Gard Filip Gjerdalen3Section of Vascular Investigations, Department of Vascular Surgery, Oslo University Hospital Aker, PO Box 4950, Nydalen, N-0424 Oslo, Norway.
Carl-Erik Slagsvold3Section of Vascular Investigations, Department of Vascular Surgery, Oslo University Hospital Aker, PO Box 4950, Nydalen, N-0424 Oslo, Norway.
Dag Bay1Division of Radiology and Nuclear Medicine, Oslo University Hospital, PO Box 4950, Nydalen, N-0424 Oslo, Norway.
Nils-Einar Kløw1Division of Radiology and Nuclear Medicine, Oslo University Hospital, PO Box 4950, Nydalen, N-0424 Oslo, Norway.
Antonio Rosales2Department of Vascular Surgery, Oslo University Hospital, PO Box 4950, Nydalen, N-0424 Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the technical success, patency, and clinical outcome, following assessment of inflow and infrainguinal endovenous stent placement in patients with iliofemoral post-thrombotic obstruction with infrainguinal involvement.

methodsA retrospective analysis of 39 patients with iliofemoral post-thrombotic venous obstruction accepted for infrainguinal stent placement in the period November 2009-December 2016. The clinical status was categorized according to the Clinical Etiological Anatomical Pathophysiological (CEAP) classification and symptom severity was assessed using Venous Clinical Severity Score (VCSS). The inflow was categorized as "good", "fair", or "poor" depending on vein caliber and extent of post-thrombotic changes in the inflow vessel(s). Stent patency was assessed by duplex ultrasound. Median follow-up was 44 months (range 2-90 months).

resultsStent placement was successful in all 39 patients. Primary patency after 24 months was 78%. Thirty of 39 patients (77%) had open stents at final follow-up. Re-interventions were performed in four patients and included catheter-directed thrombolysis (CDT) in all and adjunctive stenting in two. Twenty-eight of 39 patients (72%) reported a sustained clinical improvement. Patients with "good" inflow had better patency compared to those with "fair"/"poor" (

conclusionInfrainguinal endovenous stent placement was a feasible and safe treatment with good patency and clinical results, and should be considered in patients with substantial symptoms from post-thrombotic obstructions with infrainguinal involvement. Stents with good inflow have better patency and inflow assessment is essential in deciding the optimal stent landing zone.

Indexed as

EndovenousInflowInfrainguinalPost-thromboticStent

Identifiers

PMID30652160
PMCPMC6319667

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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.