Moeini Majid, Zafarghandi Mohammad Reza, Shahbandari Morteza, Sayarifard Azadeh, Taghavi Morteza, Salimi Javad, Farshidmehr Pezhman, Hasani Mohammad, Tobaei Mohammad Reza
Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
AL-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
J Tehran Heart Cent. 2016 Oct 3;11(4):174-180.
Venoplasty and stenting is a minimally invasive therapy that can be used for patients with deep venous insufficiency in the lower extremities. This study aimed at investigating the effect of venoplasty and venous stenting in patients with chronic venous insufficiency in the lower limbs. : This prospective case-series study recruited patients with chronic deep venous insufficiency in the lower limbs candidated for venoplasty in the Vascular Clinic of Sina Hospital in Tehran, Iran. Venoplasty and stenting was done if the deep venous system in the lower extremities had stenosis or obstruction on venography. The patients were visited 1, 3, and 6 months after venoplasty to assess their symptoms, venous clinical severity, and venous disability. Primary and secondary patency was evaluated with Doppler ultrasound. : Seventy-three patients were included in the study. The follow-up of the patients' clinical symptoms showed significant improvement rates of about 90%, 88.7%, 92.5%, and 100% in claudication, edema, pain, and ulcers-respectively- only 1 month after the procedure. The stent patency rates were 93.2, 91.5, and 92.4 in the 1st, 2nd, 3rd, and 6th postprocedural months, correspondingly. The venous clinical severity score and the venous disability score before the procedure were 14.2 and 2.73, respectively, which were decreased to 5 and 1.1, correspondingly, at 6 months' follow-up (p value < 0.001). : Venoplasty and stenting in our patients with chronic deep venous insufficiency in the lower extremities conferred a significant improvement in clinical symptoms and a high percentage of patency.
静脉成形术和支架置入术是一种微创治疗方法，可用于治疗下肢深静脉功能不全的患者。本研究旨在探讨静脉成形术和静脉支架置入术对下肢慢性静脉功能不全患者的疗效。：这项前瞻性病例系列研究招募了在伊朗德黑兰新浪医院血管诊所接受静脉成形术的下肢慢性深静脉功能不全患者。如果下肢深静脉系统在静脉造影时有狭窄或阻塞，则进行静脉成形术和支架置入术。在静脉成形术后1、3和6个月对患者进行随访，以评估他们的症状、静脉临床严重程度和静脉功能障碍情况。通过多普勒超声评估原发性和继发性通畅情况。：73名患者纳入本研究。对患者临床症状的随访显示，术后仅1个月，跛行、水肿、疼痛和溃疡的改善率分别约为90%、88.7%、92.5%和100%。在术后第1、2、3和6个月，支架通畅率分别为93.2%、91.5%和92.4%。术前静脉临床严重程度评分和静脉功能障碍评分分别为14.2和2.73，在6个月随访时分别降至5和1.1（p值<0.001）。：我们对下肢慢性深静脉功能不全患者进行的静脉成形术和支架置入术使临床症状得到显著改善，且通畅率很高。
