Interventional treatment for post-thrombotic chronic venous obstruction: Progress and challenges

Journal of Vascular Surgery Venous and Lymphatic Disorders, vol. 12, pp. 101910

Abstract

Chronic venous obstruction, including nonthrombotic iliac vein lesions and post-thrombotic syndrome, presents a significant burden on patients' quality of life and health care systems. Venous recanalization and stenting have emerged as promising minimally invasive approaches, yet challenges in patient selection, procedural techniques, and long-term outcomes persist. This review synthesizes current knowledge on the interventional treatment of post-thrombotic syndrome, focusing on the evolution of endovascular techniques and stenting. Patient selection criteria, procedural details, and the characteristics of dedicated venous stents are discussed. Particular emphasis is given to the role of inflow and other anatomical considerations, along with postoperative management protocols for an optimal long-term outcome.

Authors 6

1. Mohammad Esmaeil Barbati corresponding Aachen Clinic of Vascular and Endovascular Surgery

   RWTH Aachen University · Universitätsklinikum Aachen

   Affiliation as printed

   Clinic of Vascular and Endovascular Surgery, RWTH Aachen University Hospital, Aachen, Germany. Electronic address: mbarbati@ukaachen.de

   Clinic of Vascular and Endovascular Surgery, RWTH Aachen University Hospital, Aachen, Germany

2. Efthymios D. Avgerinos

   Athens Medical Center

   Affiliation as printed

   Athens Medical Center, Clinic of Vascular and Endovascular Surgery, Athens, Greece

   Athens Medical Center, Clinic of Vascular and Endovascular Surgery, Greece

3. Domenico Baccellieri

   IRCCS Ospedale San Raffaele

   Affiliation as printed

   Vascular Surgery Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy

4. Suat Doğancı

   Sağlık Bilimleri Üniversitesi

   Affiliation as printed

   Department of Cardiovascular Surgery, University of Health Sciences, Ankara, Turkey

5. Michael K. W. Lichtenberg

   Klinikum Arnsberg

   Affiliation as printed

   Department Angiology, Klinikum Hochsauerland, Arnsberg, Germany

6. Houman Jalaie Aachen Clinic of Vascular and Endovascular Surgery

   RWTH Aachen University · Universitätsklinikum Aachen

   Affiliation as printed

   Clinic of Vascular and Endovascular Surgery, RWTH Aachen University Hospital, Aachen, Germany