Department of Vascular Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Shaanxi, China.
Department of Vascular Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Shaanxi, China.
J Vasc Surg Venous Lymphat Disord. 2018 Nov;6(6):696-701. doi: 10.1016/j.jvsv.2018.06.012.
Primary iliac vein compression syndrome (IVCS) often is manifested with varicose veins (VVs), but the treatment of patients with IVCS combined with VVs remains unclear. The aim of this study was to investigate the outcome of a one-stop procedure for patients with IVCS and VVs.
The 32 enrolled patients underwent iliac stenting first and then endovenous laser ablation for VVs. The reflux time of the femoral vein, peak reflux velocity, and mean flow velocity were measured, and the effect on quality of life was also assessed using the Aberdeen Varicose Vein Questionnaire and Venous Clinical Severity Score. All clinical data have been recorded and analyzed.
The success rate of the procedures was 100%. No serious complications occurred. The Aberdeen Varicose Vein Questionnaire score and Venous Clinical Severity Score of patients were significantly lower at 1 month, 6 months, and 12 months after the procedure compared with scores before the procedure (P < .01). The reflux time and peak reflux velocity were lower at 6 and 12 months after the procedure (P < .01), and the mean flow velocity was higher at 6 and 12 months after the procedure (P < .05). The patency rate of the iliac vein stent was 100% during follow-up, and one patient (3.13%) had a restenosis without symptoms.
The one-stop procedure for patients with IVCS combined with VVs is a safe and effective method that might be a therapy choice for these patients.
原发性髂静脉压迫综合征（IVCS）常表现为静脉曲张（VVs），但 IVCS 合并 VVs 的治疗仍不明确。本研究旨在探讨 IVCS 合并 VVs 患者一站式治疗的效果。
32 例患者先接受髂静脉支架置入术，再行静脉腔内激光消融术治疗 VVs。测量股静脉反流时间、反流峰值速度和平均血流速度，并采用阿伯丁静脉曲张问卷和静脉临床严重程度评分评估对生活质量的影响。记录并分析所有临床数据。
手术成功率为 100%。无严重并发症发生。术后 1、6 和 12 个月，患者的阿伯丁静脉曲张问卷评分和静脉临床严重程度评分均显著低于术前（P <.01）。术后 6 和 12 个月时反流时间和反流峰值速度降低（P <.01），平均血流速度升高（P <.05）。髂静脉支架通畅率在随访期间为 100%，1 例（3.13%）患者出现无症状再狭窄。
IVCS 合并 VVs 患者的一站式治疗是一种安全有效的方法，可能是此类患者的治疗选择。
