Evidence map›Paper›PMID 38104855›Full record

SynthesisJournal of vascular surgery. Venous and lymphatic disorders2024

A meta-analysis of the medium- to long-term outcomes in patients with chronic deep venous disease treated with dedicated venous stents.

Arshpreet Singh Badesha, Stephen Alan Black, Ghazn Khan, Alexander James Harper, Narayanan Thulasidasan, Andrew Doyle, Taha Khan

Open access · greenAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Journal of vascular surgery. Venous and lymphatic disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% of its field
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, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Endovenous bypass is an option in symptomatic patients with unsalvageable iliac vein stents.Journal of vascular surgery cases and innovative techniques · 2025
    Article
  10. Review
  11. Interventional treatment for post-thrombotic chronic venous obstruction: Progress and challenges.Journal of vascular surgery. Venous and lymphatic disorders · 2024
    Review
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

7 authors at 4 institutions in 1 country.

Arshpreet Singh BadeshaDepartment of Vascular Surgery, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom; Department of Vascular Surgery, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom. Electronic address: arshpreetbadesha@doctors.org.uk.
Stephen Alan BlackDepartment of Vascular Surgery, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom; Academic Department of Vascular Surgery, King's College London, London, United Kingdom.
Ghazn KhanDepartment of Vascular Surgery, Northern Care Alliance NHS Foundation Trust, Greater Manchester, United Kingdom.
Alexander James HarperDepartment of Vascular Surgery, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom.
Narayanan ThulasidasanDepartment of Vascular Surgery, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Andrew DoyleDepartment of Vascular Surgery, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Taha KhanDepartment of Vascular Surgery, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Guy's and St Thomas' NHS Foundation Trust · GBBradford Teaching Hospitals NHS Foundation Trust · GBKing's College London · GBNorthern Health and Social Care Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis review summarizes the safety profile, stent patency, and clinical effectiveness of dedicated venous stents for the treatment of chronic deep venous disease. The approaches to stenting and post-procedural management of different vascular units are also explored.

methodsThe MEDLINE and Embase databases were searched for pertinent literature published from January 2010 to January 2023. Outcomes related to post-stenting symptoms and health-related quality of life were described narratively. A meta analysis was conducted to evaluate stent patency, ulcer healing, bleeding, and 30-day stent thrombosis, and these outcomes were presented as proportion event rates.

resultsSeventeen studies were identified comprising of 2218 patients. 62.7% of individuals had post-thrombotic stenosis or occlusion. The majority of patients (78.6%) were noted to have complete occlusions of their deep veins before stenting. Eleven different dedicated venous stents were deployed. At 12 months, the primary patency rate was 83% (95% confidence interval [CI]: 76%-90%), the primary-assisted patency rate was 90% (95% CI: 85%-96%), and the secondary patency rate was 95% (95% CI: 92%-98%). A significant improvement in health-related quality of life was demonstrated after intervention. In total, 68.8% (95% CI: 52.0%-83.7%) of ulcers healed at the last follow-up. The remaining symptomatic changes were described narratively; improvements in pain, venous claudication, and edema after stenting were observed. Seventeen deaths occurred, but none were linked to the stenting procedures. A total of 159 cases (7.2% of patients) of in-stent stenosis were observed, whereas 110 stents (5.0% of patients) were occluded. The incidence of major and minor bleeding was 1.7% (95% CI: 1.0%-2.5%) and 3.2% (95% CI: 1.3%-5.6%), respectively, more commonly seen in patients undergoing hybrid intervention.

conclusionsDeep venous stenting using dedicated venous stents is a safe technique to treat chronic deep venous stenosis and/or occlusion. Within the limitations of this study, deep venous stenting is associated with good patency rates and symptomatic improvement.

Indexed as

Intermittent ClaudicationQuality of LifeChronic DiseaseConstriction, PathologicHumansIliac VeinRetrospective StudiesStentsTreatment OutcomeDedicated venous stentsDeep vein thrombosisNon-thrombotic iliac vein lesionsPost-thrombotic syndromeStentingVenous disease

Identifiers

PMID38104855
PMCPMC11523394
OpenAlexW4389817050

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.