Lower extremity endovenous reconstruction for symptomatic occlusive disease in pediatric patients: techniques, clinical outcomes, and long-term stent patencies View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-03-09

AUTHORS

Joseph L. McDevitt, Ravi N. Srinivasa, Anthony N. Hage, Jacob J. Bundy, Joseph J. Gemmete, Jeffrey Forris Beecham Chick

ABSTRACT

BACKGROUND: Endovascular stent reconstruction is the standard of care for chronic venous occlusive disease in adults, but it has not been reported in pediatric patients. OBJECTIVE: This study reports the technical success, complications, clinical outcomes, and stent patency of iliocaval stent reconstruction for chronic iliocaval thrombosis in pediatric patients. MATERIALS AND METHODS: Fourteen patients, 13 (93%) male with a mean age of 16.4 years (range: 8-20 years), underwent iliocaval stent reconstruction for chronic iliocaval thrombosis. The mean number of prothrombotic risk factors was 2.5 (range: 0-4), including 7 (50%) patients with inferior vena cava atresia. At initial presentation, the Clinical, Etiology, Anatomy, and Pathophysiology classification (CEAP) score was C3 in 2 (14%) patients, C4 in 11 (79%) patients, and C6 in 1 (7.1%) patient. Time course of presenting symptoms included chronic (>4 weeks) (n=7; 50%) and acute worsening of chronic symptoms (2-4 weeks) (n=7; 50%). Aspects of recanalization and reconstruction, stenting technical success, complications, clinical outcomes and stent patency were recorded. Clinical success was defined as a 1-point decrease in the CEAP. Primary, primary-assisted, and secondary patency were defined by Cardiovascular and Interventional Radiological Society of Europe guidelines. RESULTS: Most procedures employed three access sites (range: 2-4). Intravascular ultrasound was employed in 11 (79%) procedures. Blunt and sharp recanalization techniques were used in 12 (86%) and 2 (14%) patients, respectively. Stenting technical success was 100%. Two (14%) minor adverse events occurred and mean post-procedure hospitalization was 2.8 days (range: 1-8 days). Clinical success rates at 2 weeks, 6 months and 12 months were 85%, 82%, and 83%, respectively. At a mean final clinical follow-up of 88 months (range: 16-231 months), clinical success was 93%. Estimated 6- and 12-month primary stent patencies were 86% and 64%, respectively. Six- and 12-month primary-assisted and secondary stent patency rates were both 100%. CONCLUSION: Iliocaval stent reconstruction is an effective treatment for symptomatic chronic iliocaval thrombosis in pediatric patients with high rates of technical success, 6- and 12-month clinical success, and 6- and 12-month primary-assisted and secondary patency rates. More... »

PAGES

1-11

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00247-019-04357-w

DOI

http://dx.doi.org/10.1007/s00247-019-04357-w

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112673263

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30852651


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "The University of Texas Southwestern Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.267313.2", 
          "name": [
            "Department of Radiology, Division of Vascular and Interventional Radiology, The University of Texas Southwestern Medical Center, Dallas, TX, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "McDevitt", 
        "givenName": "Joseph L.", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of California Los Angeles", 
          "id": "https://www.grid.ac/institutes/grid.19006.3e", 
          "name": [
            "Department of Radiology, Division of Interventional Radiology, University of California, Los Angeles, Los Angeles, CA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Srinivasa", 
        "givenName": "Ravi N.", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Thomas Jefferson University Hospital", 
          "id": "https://www.grid.ac/institutes/grid.412726.4", 
          "name": [
            "Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hage", 
        "givenName": "Anthony N.", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Michigan Medicine", 
          "id": "https://www.grid.ac/institutes/grid.412590.b", 
          "name": [
            "Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, MI, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Bundy", 
        "givenName": "Jacob J.", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Michigan Medicine", 
          "id": "https://www.grid.ac/institutes/grid.412590.b", 
          "name": [
            "Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, MI, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Gemmete", 
        "givenName": "Joseph J.", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Inova Alexandria Hospital", 
          "id": "https://www.grid.ac/institutes/grid.413592.8", 
          "name": [
            "Cardiovascular and Interventional Radiology, Inova Alexandria Hospital, 4320 Seminary Road, Alexandria, VA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Chick", 
        "givenName": "Jeffrey Forris Beecham", 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1046/j.1365-2141.2001.03025.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001135896"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvir.2015.12.753", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005060399"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.crad.2011.08.006", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006803024"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1067/mva.2000.101464", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009222485"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00270-011-0247-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010071932", 
          "https://doi.org/10.1007/s00270-011-0247-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvs.2007.06.046", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1012724287"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.ejrad.2006.11.028", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017817021"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvir.2014.04.019", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024206345"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvir.2014.04.019", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024206345"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvir.2014.04.019", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024206345"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00270-005-0337-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024208924", 
          "https://doi.org/10.1007/s00270-005-0337-0"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00270-005-0337-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024208924", 
          "https://doi.org/10.1007/s00270-005-0337-0"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s1051-0443(97)70581-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027183345"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0741-5214(05)80044-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027297454"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1067/mva.2001.114205", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1029172925"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvir.2010.01.031", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1029343574"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvs.2010.11.117", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032605679"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.rvi.0000083842.97061.c9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032818131"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jbi.2015.05.003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036512695"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvir.2010.10.013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039635562"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvir.2010.10.013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039635562"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1358863x10391355", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039742529"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1358863x10391355", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039742529"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvs.2004.09.027", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1040739641"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvir.2009.04.016", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041177586"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.ejvs.2009.03.004", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1043324603"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvs.2007.11.054", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1044487538"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvs.2006.12.046", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1044551452"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvir.2011.01.449", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1044921338"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvs.2010.01.056", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046105751"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1358863x06074829", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046872165"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1358863x06074829", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046872165"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1053/j.tvir.2014.02.008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046888321"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvs.2006.05.054", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050661944"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvir.2016.09.005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051294943"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00270-014-0875-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052627087", 
          "https://doi.org/10.1007/s00270-014-0875-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1538574407306791", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064041304"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1538574407306791", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064041304"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1378/chest.11-2308", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1067172033"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvir.2017.04.017", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1085436067"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvir.2017.06.019", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1090909857"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1053/j.tvir.2018.03.005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1101388143"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1358863x18754695", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1101409143"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1358863x18754695", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1101409143"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2019-03-09", 
    "datePublishedReg": "2019-03-09", 
    "description": "BACKGROUND: Endovascular stent reconstruction is the standard of care for chronic venous occlusive disease in adults, but it has not been reported in pediatric patients.\nOBJECTIVE: This study reports the technical success, complications, clinical outcomes, and stent patency of iliocaval stent reconstruction for chronic iliocaval thrombosis in pediatric patients.\nMATERIALS AND METHODS: Fourteen patients, 13 (93%) male with a mean age of 16.4\u00a0years (range: 8-20\u00a0years), underwent iliocaval stent reconstruction for chronic iliocaval thrombosis. The mean number of prothrombotic risk factors was 2.5 (range: 0-4), including 7 (50%) patients with inferior vena cava atresia. At initial presentation, the Clinical, Etiology, Anatomy, and Pathophysiology classification (CEAP) score was C3 in 2 (14%) patients, C4 in 11 (79%) patients, and C6 in 1 (7.1%) patient. Time course of presenting symptoms included chronic (>4\u00a0weeks) (n=7; 50%) and acute worsening of chronic symptoms (2-4\u00a0weeks) (n=7; 50%). Aspects of recanalization and reconstruction, stenting technical success, complications, clinical outcomes and stent patency were recorded. Clinical success was defined as a 1-point decrease in the CEAP. Primary, primary-assisted, and secondary patency were defined by Cardiovascular and Interventional Radiological Society of Europe guidelines.\nRESULTS: Most procedures employed three access sites (range: 2-4). Intravascular ultrasound was employed in 11 (79%) procedures. Blunt and sharp recanalization techniques were used in 12 (86%) and 2 (14%) patients, respectively. Stenting technical success was 100%. Two (14%) minor adverse events occurred and mean post-procedure hospitalization was 2.8\u00a0days (range: 1-8\u00a0days). Clinical success rates at 2\u00a0weeks, 6\u00a0months and 12\u00a0months were 85%, 82%, and 83%, respectively. At a mean final clinical follow-up of 88\u00a0months (range: 16-231\u00a0months), clinical success was 93%. Estimated 6- and 12-month primary stent patencies were 86% and 64%, respectively. Six- and 12-month primary-assisted and secondary stent patency rates were both 100%.\nCONCLUSION: Iliocaval stent reconstruction is an effective treatment for symptomatic chronic iliocaval thrombosis in pediatric patients with high rates of technical success, 6- and 12-month clinical success, and 6- and 12-month primary-assisted and secondary patency rates.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s00247-019-04357-w", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1016713", 
        "issn": [
          "0301-0449", 
          "1432-1998"
        ], 
        "name": "Pediatric Radiology", 
        "type": "Periodical"
      }
    ], 
    "name": "Lower extremity endovenous reconstruction for symptomatic occlusive disease in pediatric patients: techniques, clinical outcomes, and long-term stent patencies", 
    "pagination": "1-11", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "c12b4460a304c79820054840c85be057c4634071d300121a512c8bf57180adea"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "30852651"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "0365332"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00247-019-04357-w"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1112673263"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00247-019-04357-w", 
      "https://app.dimensions.ai/details/publication/pub.1112673263"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T11:24", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000355_0000000355/records_53022_00000000.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1007%2Fs00247-019-04357-w"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00247-019-04357-w'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00247-019-04357-w'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00247-019-04357-w'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00247-019-04357-w'


 

This table displays all metadata directly associated to this object as RDF triples.

215 TRIPLES      21 PREDICATES      62 URIs      18 LITERALS      7 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00247-019-04357-w schema:about anzsrc-for:11
2 anzsrc-for:1103
3 schema:author N96bc88ac91324b47836df66648fc4198
4 schema:citation sg:pub.10.1007/s00270-005-0337-0
5 sg:pub.10.1007/s00270-011-0247-2
6 sg:pub.10.1007/s00270-014-0875-4
7 https://doi.org/10.1016/j.crad.2011.08.006
8 https://doi.org/10.1016/j.ejrad.2006.11.028
9 https://doi.org/10.1016/j.ejvs.2009.03.004
10 https://doi.org/10.1016/j.jbi.2015.05.003
11 https://doi.org/10.1016/j.jvir.2009.04.016
12 https://doi.org/10.1016/j.jvir.2010.01.031
13 https://doi.org/10.1016/j.jvir.2010.10.013
14 https://doi.org/10.1016/j.jvir.2011.01.449
15 https://doi.org/10.1016/j.jvir.2014.04.019
16 https://doi.org/10.1016/j.jvir.2015.12.753
17 https://doi.org/10.1016/j.jvir.2016.09.005
18 https://doi.org/10.1016/j.jvir.2017.04.017
19 https://doi.org/10.1016/j.jvir.2017.06.019
20 https://doi.org/10.1016/j.jvs.2004.09.027
21 https://doi.org/10.1016/j.jvs.2006.05.054
22 https://doi.org/10.1016/j.jvs.2006.12.046
23 https://doi.org/10.1016/j.jvs.2007.06.046
24 https://doi.org/10.1016/j.jvs.2007.11.054
25 https://doi.org/10.1016/j.jvs.2010.01.056
26 https://doi.org/10.1016/j.jvs.2010.11.117
27 https://doi.org/10.1016/s0741-5214(05)80044-8
28 https://doi.org/10.1016/s1051-0443(97)70581-5
29 https://doi.org/10.1046/j.1365-2141.2001.03025.x
30 https://doi.org/10.1053/j.tvir.2014.02.008
31 https://doi.org/10.1053/j.tvir.2018.03.005
32 https://doi.org/10.1067/mva.2000.101464
33 https://doi.org/10.1067/mva.2001.114205
34 https://doi.org/10.1097/01.rvi.0000083842.97061.c9
35 https://doi.org/10.1177/1358863x06074829
36 https://doi.org/10.1177/1358863x10391355
37 https://doi.org/10.1177/1358863x18754695
38 https://doi.org/10.1177/1538574407306791
39 https://doi.org/10.1378/chest.11-2308
40 schema:datePublished 2019-03-09
41 schema:datePublishedReg 2019-03-09
42 schema:description BACKGROUND: Endovascular stent reconstruction is the standard of care for chronic venous occlusive disease in adults, but it has not been reported in pediatric patients. OBJECTIVE: This study reports the technical success, complications, clinical outcomes, and stent patency of iliocaval stent reconstruction for chronic iliocaval thrombosis in pediatric patients. MATERIALS AND METHODS: Fourteen patients, 13 (93%) male with a mean age of 16.4 years (range: 8-20 years), underwent iliocaval stent reconstruction for chronic iliocaval thrombosis. The mean number of prothrombotic risk factors was 2.5 (range: 0-4), including 7 (50%) patients with inferior vena cava atresia. At initial presentation, the Clinical, Etiology, Anatomy, and Pathophysiology classification (CEAP) score was C3 in 2 (14%) patients, C4 in 11 (79%) patients, and C6 in 1 (7.1%) patient. Time course of presenting symptoms included chronic (>4 weeks) (n=7; 50%) and acute worsening of chronic symptoms (2-4 weeks) (n=7; 50%). Aspects of recanalization and reconstruction, stenting technical success, complications, clinical outcomes and stent patency were recorded. Clinical success was defined as a 1-point decrease in the CEAP. Primary, primary-assisted, and secondary patency were defined by Cardiovascular and Interventional Radiological Society of Europe guidelines. RESULTS: Most procedures employed three access sites (range: 2-4). Intravascular ultrasound was employed in 11 (79%) procedures. Blunt and sharp recanalization techniques were used in 12 (86%) and 2 (14%) patients, respectively. Stenting technical success was 100%. Two (14%) minor adverse events occurred and mean post-procedure hospitalization was 2.8 days (range: 1-8 days). Clinical success rates at 2 weeks, 6 months and 12 months were 85%, 82%, and 83%, respectively. At a mean final clinical follow-up of 88 months (range: 16-231 months), clinical success was 93%. Estimated 6- and 12-month primary stent patencies were 86% and 64%, respectively. Six- and 12-month primary-assisted and secondary stent patency rates were both 100%. CONCLUSION: Iliocaval stent reconstruction is an effective treatment for symptomatic chronic iliocaval thrombosis in pediatric patients with high rates of technical success, 6- and 12-month clinical success, and 6- and 12-month primary-assisted and secondary patency rates.
43 schema:genre research_article
44 schema:inLanguage en
45 schema:isAccessibleForFree false
46 schema:isPartOf sg:journal.1016713
47 schema:name Lower extremity endovenous reconstruction for symptomatic occlusive disease in pediatric patients: techniques, clinical outcomes, and long-term stent patencies
48 schema:pagination 1-11
49 schema:productId N0d4a960142344283853035ededa9ee5d
50 N58e475b79af646daa792aca526219d1f
51 Nb271d2bec08348318316a834d337e462
52 Ne7adb61125cc4f62a220697d9fd9b11d
53 Nf34cb29cd05249eca1e39d4730591840
54 schema:sameAs https://app.dimensions.ai/details/publication/pub.1112673263
55 https://doi.org/10.1007/s00247-019-04357-w
56 schema:sdDatePublished 2019-04-11T11:24
57 schema:sdLicense https://scigraph.springernature.com/explorer/license/
58 schema:sdPublisher Nd733ceb38f364eb08db34fe6dc4f31db
59 schema:url https://link.springer.com/10.1007%2Fs00247-019-04357-w
60 sgo:license sg:explorer/license/
61 sgo:sdDataset articles
62 rdf:type schema:ScholarlyArticle
63 N0b964d9ca17f4576bcf56b0077022b0b schema:affiliation https://www.grid.ac/institutes/grid.412726.4
64 schema:familyName Hage
65 schema:givenName Anthony N.
66 rdf:type schema:Person
67 N0d4a960142344283853035ededa9ee5d schema:name doi
68 schema:value 10.1007/s00247-019-04357-w
69 rdf:type schema:PropertyValue
70 N16dddadcc06b4c4fa85124328b18d70f rdf:first N42fd1b668f9e42649872bbe655a3f4c6
71 rdf:rest Nee22de4690ec4c0b94178f27d7813cf1
72 N1c4a0548699941c093ed37518346ad3f schema:affiliation https://www.grid.ac/institutes/grid.412590.b
73 schema:familyName Bundy
74 schema:givenName Jacob J.
75 rdf:type schema:Person
76 N42fd1b668f9e42649872bbe655a3f4c6 schema:affiliation https://www.grid.ac/institutes/grid.19006.3e
77 schema:familyName Srinivasa
78 schema:givenName Ravi N.
79 rdf:type schema:Person
80 N543ec725715647bc9ede3c9ae9dfb407 rdf:first N1c4a0548699941c093ed37518346ad3f
81 rdf:rest Nfbee59eb56a54ae1945582dc68167e4c
82 N58e475b79af646daa792aca526219d1f schema:name nlm_unique_id
83 schema:value 0365332
84 rdf:type schema:PropertyValue
85 N705e28d5e4a347e2b4318e3f9d94bbca schema:affiliation https://www.grid.ac/institutes/grid.413592.8
86 schema:familyName Chick
87 schema:givenName Jeffrey Forris Beecham
88 rdf:type schema:Person
89 N96bc88ac91324b47836df66648fc4198 rdf:first Nfe1b8d1fee1f41a18d11011a1bdb97ec
90 rdf:rest N16dddadcc06b4c4fa85124328b18d70f
91 Nb271d2bec08348318316a834d337e462 schema:name dimensions_id
92 schema:value pub.1112673263
93 rdf:type schema:PropertyValue
94 Nc94cd6aeb11646d1b85f69aecda4d00b rdf:first N705e28d5e4a347e2b4318e3f9d94bbca
95 rdf:rest rdf:nil
96 Nd733ceb38f364eb08db34fe6dc4f31db schema:name Springer Nature - SN SciGraph project
97 rdf:type schema:Organization
98 Ne7adb61125cc4f62a220697d9fd9b11d schema:name readcube_id
99 schema:value c12b4460a304c79820054840c85be057c4634071d300121a512c8bf57180adea
100 rdf:type schema:PropertyValue
101 Nee22de4690ec4c0b94178f27d7813cf1 rdf:first N0b964d9ca17f4576bcf56b0077022b0b
102 rdf:rest N543ec725715647bc9ede3c9ae9dfb407
103 Nf34cb29cd05249eca1e39d4730591840 schema:name pubmed_id
104 schema:value 30852651
105 rdf:type schema:PropertyValue
106 Nf9b7544a96f549eaa58572c935fb6ed9 schema:affiliation https://www.grid.ac/institutes/grid.412590.b
107 schema:familyName Gemmete
108 schema:givenName Joseph J.
109 rdf:type schema:Person
110 Nfbee59eb56a54ae1945582dc68167e4c rdf:first Nf9b7544a96f549eaa58572c935fb6ed9
111 rdf:rest Nc94cd6aeb11646d1b85f69aecda4d00b
112 Nfe1b8d1fee1f41a18d11011a1bdb97ec schema:affiliation https://www.grid.ac/institutes/grid.267313.2
113 schema:familyName McDevitt
114 schema:givenName Joseph L.
115 rdf:type schema:Person
116 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
117 schema:name Medical and Health Sciences
118 rdf:type schema:DefinedTerm
119 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
120 schema:name Clinical Sciences
121 rdf:type schema:DefinedTerm
122 sg:journal.1016713 schema:issn 0301-0449
123 1432-1998
124 schema:name Pediatric Radiology
125 rdf:type schema:Periodical
126 sg:pub.10.1007/s00270-005-0337-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024208924
127 https://doi.org/10.1007/s00270-005-0337-0
128 rdf:type schema:CreativeWork
129 sg:pub.10.1007/s00270-011-0247-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010071932
130 https://doi.org/10.1007/s00270-011-0247-2
131 rdf:type schema:CreativeWork
132 sg:pub.10.1007/s00270-014-0875-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1052627087
133 https://doi.org/10.1007/s00270-014-0875-4
134 rdf:type schema:CreativeWork
135 https://doi.org/10.1016/j.crad.2011.08.006 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006803024
136 rdf:type schema:CreativeWork
137 https://doi.org/10.1016/j.ejrad.2006.11.028 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017817021
138 rdf:type schema:CreativeWork
139 https://doi.org/10.1016/j.ejvs.2009.03.004 schema:sameAs https://app.dimensions.ai/details/publication/pub.1043324603
140 rdf:type schema:CreativeWork
141 https://doi.org/10.1016/j.jbi.2015.05.003 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036512695
142 rdf:type schema:CreativeWork
143 https://doi.org/10.1016/j.jvir.2009.04.016 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041177586
144 rdf:type schema:CreativeWork
145 https://doi.org/10.1016/j.jvir.2010.01.031 schema:sameAs https://app.dimensions.ai/details/publication/pub.1029343574
146 rdf:type schema:CreativeWork
147 https://doi.org/10.1016/j.jvir.2010.10.013 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039635562
148 rdf:type schema:CreativeWork
149 https://doi.org/10.1016/j.jvir.2011.01.449 schema:sameAs https://app.dimensions.ai/details/publication/pub.1044921338
150 rdf:type schema:CreativeWork
151 https://doi.org/10.1016/j.jvir.2014.04.019 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024206345
152 rdf:type schema:CreativeWork
153 https://doi.org/10.1016/j.jvir.2015.12.753 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005060399
154 rdf:type schema:CreativeWork
155 https://doi.org/10.1016/j.jvir.2016.09.005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051294943
156 rdf:type schema:CreativeWork
157 https://doi.org/10.1016/j.jvir.2017.04.017 schema:sameAs https://app.dimensions.ai/details/publication/pub.1085436067
158 rdf:type schema:CreativeWork
159 https://doi.org/10.1016/j.jvir.2017.06.019 schema:sameAs https://app.dimensions.ai/details/publication/pub.1090909857
160 rdf:type schema:CreativeWork
161 https://doi.org/10.1016/j.jvs.2004.09.027 schema:sameAs https://app.dimensions.ai/details/publication/pub.1040739641
162 rdf:type schema:CreativeWork
163 https://doi.org/10.1016/j.jvs.2006.05.054 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050661944
164 rdf:type schema:CreativeWork
165 https://doi.org/10.1016/j.jvs.2006.12.046 schema:sameAs https://app.dimensions.ai/details/publication/pub.1044551452
166 rdf:type schema:CreativeWork
167 https://doi.org/10.1016/j.jvs.2007.06.046 schema:sameAs https://app.dimensions.ai/details/publication/pub.1012724287
168 rdf:type schema:CreativeWork
169 https://doi.org/10.1016/j.jvs.2007.11.054 schema:sameAs https://app.dimensions.ai/details/publication/pub.1044487538
170 rdf:type schema:CreativeWork
171 https://doi.org/10.1016/j.jvs.2010.01.056 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046105751
172 rdf:type schema:CreativeWork
173 https://doi.org/10.1016/j.jvs.2010.11.117 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032605679
174 rdf:type schema:CreativeWork
175 https://doi.org/10.1016/s0741-5214(05)80044-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1027297454
176 rdf:type schema:CreativeWork
177 https://doi.org/10.1016/s1051-0443(97)70581-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1027183345
178 rdf:type schema:CreativeWork
179 https://doi.org/10.1046/j.1365-2141.2001.03025.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1001135896
180 rdf:type schema:CreativeWork
181 https://doi.org/10.1053/j.tvir.2014.02.008 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046888321
182 rdf:type schema:CreativeWork
183 https://doi.org/10.1053/j.tvir.2018.03.005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1101388143
184 rdf:type schema:CreativeWork
185 https://doi.org/10.1067/mva.2000.101464 schema:sameAs https://app.dimensions.ai/details/publication/pub.1009222485
186 rdf:type schema:CreativeWork
187 https://doi.org/10.1067/mva.2001.114205 schema:sameAs https://app.dimensions.ai/details/publication/pub.1029172925
188 rdf:type schema:CreativeWork
189 https://doi.org/10.1097/01.rvi.0000083842.97061.c9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032818131
190 rdf:type schema:CreativeWork
191 https://doi.org/10.1177/1358863x06074829 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046872165
192 rdf:type schema:CreativeWork
193 https://doi.org/10.1177/1358863x10391355 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039742529
194 rdf:type schema:CreativeWork
195 https://doi.org/10.1177/1358863x18754695 schema:sameAs https://app.dimensions.ai/details/publication/pub.1101409143
196 rdf:type schema:CreativeWork
197 https://doi.org/10.1177/1538574407306791 schema:sameAs https://app.dimensions.ai/details/publication/pub.1064041304
198 rdf:type schema:CreativeWork
199 https://doi.org/10.1378/chest.11-2308 schema:sameAs https://app.dimensions.ai/details/publication/pub.1067172033
200 rdf:type schema:CreativeWork
201 https://www.grid.ac/institutes/grid.19006.3e schema:alternateName University of California Los Angeles
202 schema:name Department of Radiology, Division of Interventional Radiology, University of California, Los Angeles, Los Angeles, CA, USA
203 rdf:type schema:Organization
204 https://www.grid.ac/institutes/grid.267313.2 schema:alternateName The University of Texas Southwestern Medical Center
205 schema:name Department of Radiology, Division of Vascular and Interventional Radiology, The University of Texas Southwestern Medical Center, Dallas, TX, USA
206 rdf:type schema:Organization
207 https://www.grid.ac/institutes/grid.412590.b schema:alternateName Michigan Medicine
208 schema:name Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, MI, USA
209 rdf:type schema:Organization
210 https://www.grid.ac/institutes/grid.412726.4 schema:alternateName Thomas Jefferson University Hospital
211 schema:name Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA
212 rdf:type schema:Organization
213 https://www.grid.ac/institutes/grid.413592.8 schema:alternateName Inova Alexandria Hospital
214 schema:name Cardiovascular and Interventional Radiology, Inova Alexandria Hospital, 4320 Seminary Road, Alexandria, VA, USA
215 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...