دورية أكاديمية

Patient-Reported Outcomes of Endovascular Treatment of Post-Thrombotic Syndrome: Ancillary Study of a French Cohort

التفاصيل البيبلوغرافية
العنوان: Patient-Reported Outcomes of Endovascular Treatment of Post-Thrombotic Syndrome: Ancillary Study of a French Cohort
المؤلفون: Kévin Guillen, Frédéric Thony, Costantino Del Giudice, Gilles Goyault, Arthur David, Frédéric Douane, Yann Le Bras, Valérie Monnin-Bares, Jean-François Heautot, Hervé Rousseau, Thomas Martinelli, Francine Thouveny, Pierre-Antoine Barral, Vincent Le Pennec, Pascal Chabrot, André Rogopoulos, Ludwig Serge Aho-Glélé, Marc Sapoval, Mathieu Rodière, Olivier Chevallier, Nicolas Falvo, Romaric Loffroy
المصدر: Diagnostics; Volume 13; Issue 14; Pages: 2357
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2023
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: post-thrombotic syndrome, endovascular treatment, angioplasty, stenting, patient-reported outcomes
الوصف: Excellent outcomes of angioplasty/stenting for the post-thrombotic syndrome (PTS) have been reported, notably regarding objective criteria in the vast French SFICV cohort. Differences may exist between patient-reported and objective outcomes. We investigated this possibility by using validated scales because significative correlations are discordant in the literature between patency and patient-reported characteristics. Patient-reported outcomes seem to be a more consistent tool than radiologic patency for the diagnosis and follow-up of patients displaying PTS. We retrospectively reviewed the Villalta scale and 20-item ChronIc Venous dIsease quality-of-life Questionnaire (CIVIQ-20) scores recorded after endovascular stenting for PTS at 14 centres in France in 2009–2019. We also collected patency rates, pre-operative post-thrombotic lesion severity, and the extent of stenting. We performed multivariate analyses to identify factors independently associated with improvements in each of the two scores. The 539 patients, including 324 women and 235 men, had a mean age of 44.7 years. The mean Villalta scale improvement was 7.0 ± 4.7 (p < 0.0001) and correlated with the thrombosis sequelae grade and time from thrombosis to stenting. The CIVIQ-20 score was available for 298 patients; the mean improvement was 19.2 ± 14.8 (p < 0.0001) and correlated with bilateral stenting, single thrombosis recurrence, and single stented segment. The objective gains demonstrated in earlier work after stenting were accompanied by patient-reported improvements. The factors associated with these improvements differed between the Villalta scale and the CIVIQ-20 score. These results proved that clinical follow-up with validated scores is gainful in patients treated for PTS thanks to a mini-invasive procedure.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
العلاقة: Medical Imaging and Theranostics; https://dx.doi.org/10.3390/diagnostics13142357Test
DOI: 10.3390/diagnostics13142357
الإتاحة: https://doi.org/10.3390/diagnostics13142357Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.8C0F16D6
قاعدة البيانات: BASE