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CardioVascular and Interventional Radiology

, Volume 23, Issue 1, pp 9–16 | Cite as

PTA arid stenting of benign venous stenoses in the pelvis: Long-term results

  • Walter A. Wohlgemuth
  • Hermann Weber
  • Henning Loeprecht
  • Wolfram Tietze
  • Klaus Bohndorf
Clinical Investigations

Abstract

Purpose: To provide follow-up data on endovascular intervention for venous stenoses in the pelvis.

Methods: Between 1985 and 1995, 35 patients presented with 42 stenoses of the pelvic veins after operative thrombectomy and creation of an arteriovenous fistula, combined with intraoperative venous angioscopy. All patients underwent angioplasty and, if unsuccessful, percutaneous insertion of an endovascular stent (n=7).

Results: Angioplasty with and without endovascular stenting was technically successful in 34 of 35 patients (97%). Average length of the stenoses was 20.6 mm (range 10–90 mm), average diameter before dilation 4.1 mm (range 2–6 mm), and average diameter after dilation 10.1 mm (range 5–18 mm). Intraoperative angioscopy showed pathologic findings (intimal laceration or residual thrombotic material) in 14 patients. After an average follow-up period of 4.13 years. 24 (69%) patients had patent veins. The difference in the primary patency rate between patients with angioscopically abnormal veins (6 of 14 patients, corresponding to a patency rate of 43%) and patients with angioscopically normal veins after thrombectomy (18 of 21 patients, corresponding to a patency rate of 86%) was statistically significant (p<0.01, log rank test).

Conclusions: Percutaneous transluminal angioplasty and/or stenting are good treatment modalities for pelvic vein stenosis following surgical thrombectomy. Angioscopically abnormal veins have a poorer long-term patency, regardless of the type of intervention.

Key words

Veins, transluminal angioplasty Veins, stenosis or obstruction Veins, grafts and prostheses 

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Copyright information

© Springer-Verlag New York, Inc 2000

Authors and Affiliations

  • Walter A. Wohlgemuth
    • 1
  • Hermann Weber
    • 2
  • Henning Loeprecht
    • 2
  • Wolfram Tietze
    • 1
  • Klaus Bohndorf
    • 1
  1. 1.Department of Radiology and NeuroradiologyZentralklinikum AugsburgAugsburgGermany
  2. 2.Department of Vascular and Thoracic SurgeryZentralklinikum AugsburgAugsburgGermany

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