Iliac-caval stenting in the obese

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Presentation transcript:

Iliac-caval stenting in the obese Seshadri Raju, MD, Rikki Darcey, BS, Peter Neglén, MD, PhD Journal of Vascular Surgery Volume 50, Issue 5, Pages 1114-1120 (November 2009) DOI: 10.1016/j.jvs.2009.06.055 Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 1 Body mass index (BMI) distribution in 87 obese patients who underwent iliac vein stenting for severe venous symptoms. Journal of Vascular Surgery 2009 50, 1114-1120DOI: (10.1016/j.jvs.2009.06.055) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 2 Cumulative patency of stents placed in limbs of obese patients. Limbs at risk at each time interval are shown in the bottom panel. Journal of Vascular Surgery 2009 50, 1114-1120DOI: (10.1016/j.jvs.2009.06.055) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 3 Cumulative relief of pain and swelling in limbs after stenting in the obese. Partial relief of pain is defined as an improvement in pain of at least 3/10 on visual analog scale (VAS) after stent placement. Partial improvement in swelling is defined as an improvement of at least one swelling grade on venous severity scoring system after stent placement. Complete relief of pain or swelling indicates that no residual pain or swelling was present after stent placement. The cumulative curves were generated by censoring limbs that did not meet the stated level of symptom thresholds at each time interval. Limbs at risk at each time interval are shown in the bottom panel. Journal of Vascular Surgery 2009 50, 1114-1120DOI: (10.1016/j.jvs.2009.06.055) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 4 Cumulative freedom from dermatitis/ulcer in CEAP C 4-6 limbs after iliac vein stenting in the obese. Limbs at risk at each time interval are shown in the bottom panel. Journal of Vascular Surgery 2009 50, 1114-1120DOI: (10.1016/j.jvs.2009.06.055) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 5 Obese patient with bilateral severe dermatitis, hyperpigmentation, and many small ulcers before (left) and five months after staged bilateral iliac vein stent placement (right). Journal of Vascular Surgery 2009 50, 1114-1120DOI: (10.1016/j.jvs.2009.06.055) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 6 Painful lipedema in obese patient. Pain was completely relieved after iliac vein stenting. Journal of Vascular Surgery 2009 50, 1114-1120DOI: (10.1016/j.jvs.2009.06.055) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 7 Obese patient with ‘inverted bottle’ leg. Lipodermatosclerosis and scarring has constricted the lower leg with the upper leg remaining large. Severe dermatitis with ulcerations is present circumferentially around the limb. Journal of Vascular Surgery 2009 50, 1114-1120DOI: (10.1016/j.jvs.2009.06.055) Copyright © 2009 Society for Vascular Surgery Terms and Conditions