Endovascular Interventions for Venous Diseases

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: closed (31 May 2020) | Viewed by 6564

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Guest Editor
Department of Vascular, Oncologic and Interventional Radiology, University of Dijon School of Medicine, Bocage Teaching Hospital, 14 Rue Gaffarel, BP 77908, CEDEX, 21079 Dijon, France
Interests: quantitative MRI of the liver; oncologic radiology; interventional radiology
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Special Issue Information

Dear Colleagues, 

Endovenous interventions represent an emerging alternative therapeutic modality in the field of interventional radiology. It is attracting the attention of many researchers worldwide thanks to its minimally invasive nature and intrinsic low risk of morbidity and mortality. The negative impact of venous diseases on quality of life is well established and the optimization of management strategies is an important area of evolving research. The management of venous diseases has rapidly evolved over the last two decades with the development of minimally invasive endovenous procedure techniques, which are now the mainstay of treatment for the management of deep vein thrombosis, postthrombotic syndrome, dialysis access dysfunction, pelvic congestion syndrome, and varicoceles or leg varices.  

This Special Issue aims to present a comprehensive overview of this active research area by gathering a comprehensive range contributions from pathophysiological questions, to technical endovascular aspects, to clinical trials and applications. Contributions may be related, but are not limited to, the following areas: venous imaging approach, thrombectomy procedures, venous angioplasty, hemodialysis arteriovenous fistula field, endovenous ablative techniques, and embolization interventions.

Prof. Dr. Romaric Loffroy
Guest Editor

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Keywords

  • venous interventions
  • endovascular procedures
  • deep vein thrombosis
  • chronic venous obstruction
  • hemodialysis fistula
  • thrombectomy devices
  • venous embolization

Published Papers (2 papers)

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12 pages, 1773 KiB  
Article
Single-Session Percutaneous Mechanical Thrombectomy Using the Aspirex®S Device Plus Stenting for Acute Iliofemoral Deep Vein Thrombosis: Safety, Efficacy, and Mid-Term Outcomes
by Romaric Loffroy, Nicolas Falvo, Kévin Guillen, Christophe Galland, Xavier Baudot, Emmanuel Demaistre, Léo Fréchier, Frédérik Ledan, Marco Midulla and Olivier Chevallier
Diagnostics 2020, 10(8), 544; https://doi.org/10.3390/diagnostics10080544 - 30 Jul 2020
Cited by 19 | Viewed by 3316
Abstract
To assess the safety, efficacy and mid-term outcomes of single-session percutaneous mechanical thrombectomy (PMT) for acute symptomatic iliofemoral deep vein thrombosis (DVT) using the Aspirex®S device. Retrospective review of 30 patients (women, 23; mean age, 45.5 ± 19.9 years; range, 17–76) [...] Read more.
To assess the safety, efficacy and mid-term outcomes of single-session percutaneous mechanical thrombectomy (PMT) for acute symptomatic iliofemoral deep vein thrombosis (DVT) using the Aspirex®S device. Retrospective review of 30 patients (women, 23; mean age, 45.5 ± 19.9 years; range, 17–76) who underwent PMT with the 10-French Aspirex®S device (Straub Medical AG, Wangs, Switzerland) for acute DVT between December 2015 and March 2019. Procedures were performed by popliteal (n = 22) or jugular (n = 7) approach, or both (n = 1). Mean time from diagnosis to PMT was 5.5 ± 4.6 days (range, 2–11). Successful thrombus removal and venous patency restoration were achieved in all patients (100%). Fluid removal was 307.8 ± 66.1 mL (range, 190–410). Additional venous stenting rate was 100%. Mean procedural time was 107.3 ± 33.9 min (range, 70–180). No major complication occurred. The patient’s postprocedural course was uneventful in all cases, with hospital discharge within 2 days in 83.3%. Early in-stent rethrombosis occurred within 1 week in 3 patients, successfully managed by endovascular approach. Secondary stent patency rate was 86.7% at a mean follow-up of 22.3 ± 14.2 months (range, 6–48), as assessed by Duplex ultrasound. Single-session of PMT using the Aspirex®S device is a safe and effective therapeutic option in patients presenting with acute symptomatic iliofemoral DVT. Full article
(This article belongs to the Special Issue Endovascular Interventions for Venous Diseases)
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Ultrasound-Guided Percutaneous Antegrade Varicocele Embolization with Cyanoacrylate Glue as an Alternative to the Standard Retrograde Approach
by Olivier Chevallier, Julie Pellegrinelli, Kevin Guillen and Romaric Loffroy
Diagnostics 2020, 10(6), 432; https://doi.org/10.3390/diagnostics10060432 - 25 Jun 2020
Cited by 2 | Viewed by 2737
Abstract
We report a case of a 29-year-old male referred to our hospital for endovascular treatment of a left-sided painful varicocele. Standard retrograde embolization via the left renal vein was not possible because of the presence of a left circum-aortic renal vein making the [...] Read more.
We report a case of a 29-year-old male referred to our hospital for endovascular treatment of a left-sided painful varicocele. Standard retrograde embolization via the left renal vein was not possible because of the presence of a left circum-aortic renal vein making the catheterization of the testicular vein not feasible. The patient was successfully treated via ultrasound-guided percutaneous antegrade access of the testicular vein at the inguinal level with subsequent cyanoacrylate glue embolization as a minimally invasive alternative to surgical therapy. This is a new approach to varicocele embolization when the left renal vein does not feed the varicocele. Full article
(This article belongs to the Special Issue Endovascular Interventions for Venous Diseases)
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