Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492011000200008
Jornal Vascular Brasileiro
Review Article

Tratamento endovascular das obstruções venosas crônicas do segmento iliocaval

Endovascular treatment of chronic obstructions of the iliocaval segment

Giuliano de Almeida Sandri

Downloads: 0
Views: 813

Resumo

A insuficiência venosa crônica é um grave problema de saúde pública no mundo, consumindo grandes quantias de recursos e causando grande prejuízo na qualidade de vida dos pacientes portadores de suas formas mais avançadas. A cirurgia para o tratamento de obstruções no sistema venoso profundo não foi incorporada à prática da maioria dos cirurgiões vasculares, ficando restrita a poucos centros em alguns países. Com o advento da cirurgia endovascular, a possibilidade de tratar alguns tipos de lesões obstrutivas por uma técnica minimamente invasiva e com resultados promissores renova o interesse da comunidade vascular pelas formas mais complexas de doença venosa.

Palavras-chave

insuficiência venosa, síndrome pós-trombótica, angioplastia

Abstract

Chronic venous insufficiency is an important public health issue worldwide, that consumes significant amounts of resources and impairs the quality of life of patients who suffer from its more severe clinical types. Surgery for the treatment of deep venous system obstruction has not been incorporated to the practice of most vascular surgeons, being restricted to a few medical centers in some countries. With the advent of endovascular surgical techniques, the possibility of treating some obstructive lesions with a minimally invasive technique that has promising results has renewed the interest of the vascular community for the treatment of more complex forms of vascular disease.

Keywords

venous insufficiency, post-thrombotic syndrome, angioplasty

References

Bergan J, Schmid-Schönbei G, Smith P, Nicolaides A, Boisseau M, Eklöf B. Mechanisms of desease: chronic venous desease - review article. N Engl J Med.. 2006;355:489-498.

Eklöf B, Rutherford RB, Bergan JJ, Carpentier PH, Gloviczki P, Kistner RL, Meissner MH, Moneta GL, Myers K, Padberg FT, Perrin M, Ruckley CV, Smith PC, Wakefield TW. Revision of the CEAP classification for chronic venous desorders: consensus statement. J Vasc Surg.. 2004;40:1248-52.

Delis KT, Bountouroglou D, Mansfield AO. Venous claudication in iliofemoral thrombosis: long-term effects on venous hemodynamics, clinical status, and quality of life. Ann Surg.. 2004;239:118-26.

Maffei FHA, Magaldi C, Pinho SZ. Varicose veins and chronic venous insufficency in Brazil: prevalence among 1755 inhabitants of a country town. Int J Epidemiol. 1986;15:210-7.

Santos M. Varizes dos membros inferiores. Conceito, Etiopatogenia, Quadro Clínico e Diagnóstico. Cirurgia Vascular. 2008:1497-529.

Gloviczki P. The management of venous disorders: introduction and general considerations.. Vascular Surgery. 2005:2111-23.

Kaplan RM, Criqui M, Denenberg JO, Bergan J, Fronek A. Quality of life in patients with chronic venous disease: San Diego population study. J Vasc Surg.. 2003;37:1047-53.

Néglen P. Importance, Etiology, and Diagnosis of Chronic Proximal Venous Outflow Obstruction. The Vein Book. 2007:541-48.

Kahn SR, M'lan CE, Lamping DL, Kurz X, Bérard A, Abenhaim LA. Relationship between clinical classification of chronic venous disease and patient-reported quality of life: results from an international cohort study. J Vasc Surg.. 2004;39:823-8.

Killewich LA, Martin R, Cramer M, Beach KW, Strandness DE Jr. Pathophysiology of venous claudication. J Vasc Surg.. 1984;1:507-11.

Labropoulos N, Volteas N, Leon M. The role of venous outflow obstruction in patients with chronic venous dysfunction. Arch Surg.. 1997;132:46-51.

Néglen P, Thrasher TL, Raju S. Venous outflow obstruction: An underestimated contributor to chronic venous disease. J Vasc Surg.. 2003;38:879-85.

Jost CJ, Gloviczki P, Cherry KJ Jr. Surgical reconstruction of iliofemoral veins and the inferior vena cava for nonmalignant occlusive disease. J Vasc Surg.. 2001;33:320-8.

Néglen P. Treatment of iliac venous obstruction in chronic venous desease. The Vein Book. 2007:549-57.

Mussa FF, Peden EK, Zhou W, Lin PH, Lumsden AB, Bush RL. Iliac vein stenting for chronic venous insufficiency. Tex Heart Inst J.. 2007;34:60-6.

Houaiss A. Dicionário Houaiss da língua portuguesa. 2001.

Néglen P. Endovascular reconstruction for chronic iliofemoral vein obstruction. Handbook of venous disorders: guidelines of the American Venous Forum. 2009:491-502.

Thorpe P, Osse FJ. Endovenous management of Iliocaval occlusion. The Vein Book. 2007:559-74.

Raju S, Néglen P. Percutaneus recanalization of total occlusion of the iliac vein. J Vasc Surg.. 2009;50:360-8.

Bjarnason H. Endovascular reconstruction of complex iliocaval venous occlusions. Handbook of venous disorders: guidelines of the American Venous Forum. 2009:503-13.

Hartung O, Otero A, Boufi M. Mid-term results of endovascular treatment for symptomatic chronic nonmalignant iliocaval venous occlusive disease. J Vasc Surg.. 2005;42:1138-44.

Hartung O, Loundou AD, Barthelemy P, Arnoux D, Boufi M, Alimi YS. Endovascular management of chronic disabling ilio-caval obstructive lesions: long term results. Eur J Vasc Endovasc Surg.. 2009;38:118-24.

Razavi MK, Hansch EC, Kee ST, Sze DY, Semba CP, Dake MD. Chronically occluded inferior venae cavae: endovascular treatment. Radiology.. 2000;214:133-8.

Neglén P, Tackett TP Jr, Raju S. Venous stenting across the inguinal ligament. J Vasc Surg.. 2008;48:1255-61.

Delis KT, Bjarnason H, Wennberg PW, Rooke TW, Gloviczki P. Successful iliac vein and inferior vena cava stenting ameliorates venous claudication and improves venous outflow, calf muscle pump function, and clinical status in post-thrombotic syndrome. Ann Surg.. 2007;245:130-9.

Hartung O, Barthelemy P, Arnoux D, Boufi M, Alimi YS. Management of pregnancy in women with previous left ilio-caval stenting. J Vasc Surg.. 2009;50:355-9.

Raju S, Hollis K, Neglen P. Obstructive lesions of the inferior vena cava: clinical features and endovenous treatment. J Vasc Surg.. 2006;44:820-7.

Néglen P, Raju S. In-stent recurrent stenosis in stents placed in the lower extremity venous outflow tract. J Vasc Surg.. 2004;39:181-7.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddfbac40e88250c5d61c40c jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections