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Vici 静脉支架治疗慢性髂股静脉阻塞再通的器械特征:安全性和有效性概述。

Device profile of the Vici venous stent for chronic iliofemoral venous obstruction recanalization: overview of its safety and efficacy.

机构信息

Academic Department of Vascular Surgery, School of Cardiovascular Medicine and Sciences, BHF Centre of Research Excellence, Guy's and St. Thomas' NHS Trust, King's College London, London, UK.

出版信息

Expert Rev Med Devices. 2020 May;17(5):391-397. doi: 10.1080/17434440.2020.1748009. Epub 2020 Apr 21.

Abstract

: Endovenous stenting is being increasingly used for the management of iliofemoral venous outflow obstruction due to thrombotic or non-thrombotic iliac vein lesions (NIVL). Dedicated venous stents have replaced re-purposed arterial stents but there are limited data on their relative safety and efficacy.: This review looks at the available literature on the safety and efficacy of the Veniti Vici Venous stent (Boston Scientific), a specific venous stent, and compares its outcomes with the other venous stents that are currently available. Reported outcomes include patency, clinical efficacy, and the number of adverse events.: The initial clinical trials of the Vici venous stent have shown both good clinical and safety outcomes at 12-24 months follow-up. Longer follow-up data are pending and further trials comparing available stents are required. Current evidence supports its use in the management of deep venous reconstruction, especially in occlusive post-thrombotic disease. Patients should, however, be made aware of the paucity of long-term data and the need for monitoring within a dedicated surveillance program following stent placement.

摘要

: 静脉内支架置入术越来越多地用于治疗因血栓或非血栓性髂静脉病变(NIVL)导致的髂股静脉流出道阻塞。专用静脉支架已取代了重新使用的动脉支架,但关于其相对安全性和疗效的数据有限。本综述回顾了有关 Boston Scientific 公司的 Veniti Vici 静脉支架的安全性和疗效的现有文献,并将其结果与目前可用的其他静脉支架进行了比较。报告的结果包括通畅率、临床疗效和不良事件的数量。Vici 静脉支架的最初临床试验显示,在 12-24 个月的随访中,该支架具有良好的临床和安全性结果。目前正在等待更长时间的随访数据,并且需要进行比较现有支架的进一步试验。目前的证据支持将其用于深静脉重建的治疗,尤其是在血栓后闭塞性疾病中。然而,应让患者了解缺乏长期数据的情况,并在支架置入后通过专门的监测计划进行监测。

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