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Endovascular Iliocaval Stent Reconstruction for Iliocaval Thrombosis: A Multi-Institutional International Practice Pattern Survey.

MedStar author(s):

Citation: Urologic Oncology. 36(3):90.e1-90.e7, 2018 03.PMID: 29486230Institution: MedStar Washington Hospital CenterDepartment: Surgery/Vascular SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Cystectomy/sn [Statistics & Numerical Data] | *Ovariectomy/sn [Statistics & Numerical Data] | *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] | *Salpingectomy/sn [Statistics & Numerical Data] | *Urinary Bladder Neoplasms/su [Surgery] | Adult | Aged | Clinical Competence | Cystectomy/ae [Adverse Effects] | Cystectomy/mt [Methods] | Female | Humans | Male | Medical Oncology/og [Organization & Administration] | Middle Aged | Neoplasms, Second Primary/ep [Epidemiology] | Neoplasms, Second Primary/pc [Prevention & Control] | Ovarian Neoplasms/ep [Epidemiology] | Ovarian Neoplasms/pc [Prevention & Control] | Ovariectomy/ae [Adverse Effects] | Ovariectomy/mt [Methods] | Salpingectomy/ae [Adverse Effects] | Salpingectomy/mt [Methods] | Surveys and Questionnaires | Urinary Bladder Neoplasms/pa [Pathology] | Urologists/sn [Statistics & Numerical Data] | Urology/og [Organization & Administration]Year: 2018 Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007ISSN:

0890-5096

Name of journal: Annals of vascular surgeryAbstract: CONCLUSION: Iliocaval reconstruction is performed by many interventionalists; however, there are global inconsistencies in practices, suggesting a need for further research and guideline development.Copyright (c) 2018. Published by Elsevier Inc.MATERIALS AND METHODS: A 45-question survey focusing on iliocaval stent reconstruction evaluation was distributed through the Open Forum and Venous Disease Service Line of the Society of Interventional Radiology Connect website from June 20, 2017 until September 7, 2017 and the Cardiovascular and Interventional Radiological Society of Europe electronic newsletter on August 11, 2017.PURPOSE: To report global iliocaval stent reconstruction practices by interventionalists.RESULTS: 107 complete responses were received from interventional radiologists in the United States, 2 from South America, and 2 from Central America. 92.5% performed iliocaval reconstruction and 79.8% performed the procedure for both acute and chronic iliocaval thrombosis. 82.8% completed a standardized physician assessment tool and 91.9% obtained computed tomography venography before the procedure. 64.6% used intravascular ultrasound to guide reconstruction. 41.4% found blunt recanalization successful for >75% of patients. 63.6% used sharp recanalization for <25% of patients. 97.0% and 90.9% used uncovered and self-expanding stents, respectively. Wallstents were used most commonly. Most common stent diameters were 24-mm in the inferior vena cava, 14-mm in the common iliac vein, and 12-mm in the external iliac vein. 48.5% and 21.2% prescribed 2 and 3 anticoagulants after stent placement, respectively. 62.6% found iliocaval reconstruction provided symptomatic clinical improvement for iliocaval thrombosis in >75% of patients. 72.7% estimated their 1-year primary stent patency to be >75%.All authors: Abramowitz SD, Beecham Chick JF, Gemmete JJ, Hage AN, Reddy SN, Srinivasa RNOriginally published: Annals of Vascular Surgery. 2018 Feb 24Fiscal year: FY2018Digital Object Identifier:

https://dx.doi.org/10.1016/j.avsg.2018.01.076

Date added to catalog: 2018-04-20

Holdings ( 1 )
Title notes ( 7 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	29486230	Available		29486230

Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007

CONCLUSION: Iliocaval reconstruction is performed by many interventionalists; however, there are global inconsistencies in practices, suggesting a need for further research and guideline development.

MATERIALS AND METHODS: A 45-question survey focusing on iliocaval stent reconstruction evaluation was distributed through the Open Forum and Venous Disease Service Line of the Society of Interventional Radiology Connect website from June 20, 2017 until September 7, 2017 and the Cardiovascular and Interventional Radiological Society of Europe electronic newsletter on August 11, 2017.

PURPOSE: To report global iliocaval stent reconstruction practices by interventionalists.

RESULTS: 107 complete responses were received from interventional radiologists in the United States, 2 from South America, and 2 from Central America. 92.5% performed iliocaval reconstruction and 79.8% performed the procedure for both acute and chronic iliocaval thrombosis. 82.8% completed a standardized physician assessment tool and 91.9% obtained computed tomography venography before the procedure. 64.6% used intravascular ultrasound to guide reconstruction. 41.4% found blunt recanalization successful for >75% of patients. 63.6% used sharp recanalization for <25% of patients. 97.0% and 90.9% used uncovered and self-expanding stents, respectively. Wallstents were used most commonly. Most common stent diameters were 24-mm in the inferior vena cava, 14-mm in the common iliac vein, and 12-mm in the external iliac vein. 48.5% and 21.2% prescribed 2 and 3 anticoagulants after stent placement, respectively. 62.6% found iliocaval reconstruction provided symptomatic clinical improvement for iliocaval thrombosis in >75% of patients. 72.7% estimated their 1-year primary stent patency to be >75%.

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