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©The Author(s) 2021.
World J Radiol. Dec 28, 2021; 13(12): 371-379
Published online Dec 28, 2021. doi: 10.4329/wjr.v13.i12.371
Published online Dec 28, 2021. doi: 10.4329/wjr.v13.i12.371
Table 1 Baseline demographics
Variable | Summary (n = 65) |
Median age in years (interquartile range) | 54 (41-63) |
Median BMI in kg/m2 (interquartile range) | 28 (25.1-32.7) |
Gender | |
Male | 38 (58.5%) |
Female | 27 (41.5%) |
Clinical symptoms | |
Lower extremity swelling | 57 (87.7%) |
Lower extremity pain | 44 (67.7%) |
Venous stasis ulceration | 7 (10.8%) |
Varicose veins | 3 (4.6%) |
Pelvic pain | 2 (3.1%) |
Symptomatic side | |
Left | 49 (75.4%) |
Right | 14 (21.5%) |
Bilateral | 2 (3.1%) |
Thrombophilia risk factor | |
Young age (< 40 yr) | 24 (35.9%) |
Family history | 12 (18.5%) |
Unprovoked | 16 (24.6%) |
VTE provoking factor | |
Prolonged immobilization | 15 (23.1%) |
Malignancy | 13 (20.0%) |
Recent surgery | 5 (7.7%) |
Trauma | 5 (7.7%) |
Pregnancy | 7 (14.6%) |
Hormonal supplement | 4 (6.2%) |
None | 16 (24.6%) |
Table 2 Procedure details
Variable | Summary (n = 65) |
Pre-procedure CIV patency | |
Stenosis | 47 (72.3%) |
Occlusion | 16 (24.6%) |
In-stent thrombosis | 2 (3.1%) |
Stent location | |
Left CIV | 50 (76.9%) |
Right CIV | 11 (16.9%) |
Bilateral CIV | 4 (6.2%) |
Stent type | |
Wallstent | 51 (78.5%) |
Venovo | 9 (13.8%) |
Smart | 2 (3.1%) |
Vici | 3 (4.6%) |
CIV stent balloon dilation diameter (mm) | |
12 | 1 (1.5%) |
14 | 14 (21.5%) |
16 | 28 (43.1%) |
18 | 19 (29.2%) |
20 | 3 (4.6%) |
Additional stented segments | |
External iliac vein | 54 (83.1%) |
Common femoral vein | 45 (69.2%) |
Simultaneous endovascular interventions | |
Thrombolysis | 25 (38.5%) |
Thrombectomy | 17 (26.2%) |
CIV filter retrieval | 3 (4.6%) |
Table 3 Complications by thrombophilia testing
Thrombophilia work-up (n = 33) | Positive (n = 16) | Negative (n = 17) |
Clinical success | ||
Stent patency | 14 (87.5%) | 12 (70.6%) |
1 mo | 12 of 13 (92.3%) | 13 of 16 (81.3%) |
6 mo | 10 of 12 (83.3%) | 12 of 15 (80%) |
12 mo | 7 of 9 (77.8%) | 10 of 13 (76.9%) |
Stent thrombosis | 2 (12.5%) | 4 (23.5%) |
Anticoagulated during stent thrombosis | 1 of 2 (50%) | 2 of 4 (50%) |
Re-intervention rates | 4 (25%) | 6 (35.3%) |
Number of re-interventions | ||
1 | 50% | 67% |
2 | 0% | 33% |
3 | 25% | 0% |
4 | 25% | 0% |
- Citation: Cramer P, Mensah C, DeSancho M, Malhotra A, Winokur R, Kesselman A. Prevalence of hypercoagulable states in stented thrombotic iliac vein compression syndrome with comparison of re-intervention and anticoagulation regimens. World J Radiol 2021; 13(12): 371-379
- URL: https://www.wjgnet.com/1949-8470/full/v13/i12/371.htm
- DOI: https://dx.doi.org/10.4329/wjr.v13.i12.371