Evaluation of the endovascular treatment of iliac vein stenosis as a cause of advanced chronic venous insufficiency

• Grant number: 12/01021-9
• Support Opportunities: Regular Research Grants
• Start date: October 01, 2012
• End date: March 31, 2015
• Field of knowledge: Health Sciences - Medicine - Surgery
• Principal Investigator: Fabio Henrique Rossi
• Grantee: Fabio Henrique Rossi
• Host Institution: Instituto Dante Pazzanese de Cardiologia (IDPC). Fundação Adib Jatene (FAJ). Secretaria da Saúde (São Paulo - Estado). São Paulo , SP, Brazil
• Associated researchers: Amanda Guerra de Moraes Rego Souza ; Mario Hiroyuki Hirata ; Paula Helena Ortiz Lima

Abstract

Most of vascular diseases affecting the lower limbs are of venous origin. Its highest incidence occurs from the third decade of life, reaching significantly the economically active population. Chronic venous insufficiency treatment aims to relieve symptoms, treat and prevent complications, avoid recurrences and provide cosmetic satisfaction with minimal side effects. Current treatment includes some classic clinical postural measures, compression therapy and the eventual use of medication. The results obtained in the medium and long term is unfavorable, since a large number of patients do not get better or evolves with recurrence of symptoms.At present times many foreign studies, not prospective, not randomized, have shown favorable results with the endovascular treatment of iliac vein obstruction in patients with advanced chronic venous insufficiency.This study aims to determine the prevalence of venous obstruction in patients with advanced chronic venous insufficiency of the lower limbs, compare the different complementary tests used in the diagnosis of obstructions, and observe the results of endovascular treatment, through the use of angioplasty and stenting in this group of patients. (AU)

Scientific publications

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

METZGER, PATRICK BASTOS; ROSSI, FABIO HENRIQUE; FERNANDEZ, MIGUEL GODEIRO; CARVALHO, SARAH FERNANDEZ COUTINHO DE; METZGER, SIMONE LESSA; IZUKAWA, NILO MITSURU; KAMBARA, ANTONIO MASSAMITSU; THORPE, PATRICIA. Association between the degree of iliac venous outflow obstruction by intravascular ultrasound and lower limb venous reflux. JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS, v. 11, n. 5, p. 11-pg., 2023-09-01. (12/01021-9)

ROSSI, FABIO H.; KAMBARA, ANTONIO M.; IZUKAWA, NILO M.; RODRIGUES, THIAGO O.; ROSSI, CYBELLE B.; SOUSA, AMANDA G.; METZGER, PATRICK B.; THORPE, PATRICIA E.. Randomized double-blinded study comparing medical treatment versus iliac vein stenting in chronic venous disease. JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS, v. 6, n. 2, p. 183-191, MAR 2018. (12/01021-9)

METZGER, PATRICK BASTOS; ROSSI, FABIO HENRIQUE; KAMBARA, ANTONIO MASSAMITSU; IZUKAWA, NILO MITSURU; SALEH, MOHAMED HASSAN; PINTO, IBRAIM M. F.; AMORIM, JORGE EDUARDO; THORPE, PATRICIA E.. Criteria for detecting significant chronic iliac venous obstructions with duplex ultrasound. JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS, v. 4, n. 1, p. 18-27, JAN 2016. (12/01021-9)