{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T17:11:51Z","timestamp":1780506711530,"version":"3.54.1"},"reference-count":14,"publisher":"Hogrefe Publishing Group","issue":"6","license":[{"start":{"date-parts":[[2018,10,1]],"date-time":"2018-10-01T00:00:00Z","timestamp":1538352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasa"],"published-print":{"date-parts":[[2018,10,1]]},"abstract":"<jats:p> Abstract. Background: To evaluate the performance of a closed-cell designed venous stent for the treatment of chronic ilio-femoral venous outflow obstruction (VOO) in the shortterm. Patients and methods: Safety, stent patency and clinical outcome after placement of the Vici Venous Stent\u00ae in patients with chronic ilio-femoral venous obstruction were assessed retrospectively. Stent patency was evaluated by duplex ultrasound scanning, and clinical outcome was determined using the revised Venous Clinical Severity score (rVCSS). Results: 75 patients (49 % female; median age 57 years; 82 limbs) with symptomatic significant VOO had stents placed in the ilio-femoral veins. Lower limb venous skin changes including ulcers (C-class in CEAP 4\u20136) were found in 31 patients (41 %). Nonthrombotic iliac vein lesions (NIVLs) and post-thrombotic obstruction (PTO) were found in 40 and 42 limbs, respectively. There were no safety issues. Cumulative primary, assisted-primary, and secondary stent patency in the entire cohort at 12 months were 94 %, 94 % and 96 %, respectively. Five limbs presented with stent occlusion. Two limbs had no intervention, 2\/3 remained patent after reintervention. Clinical improvement (a decrease \u2265 2 rVCSS points) was observed in 81 %, 81 %, and 77 % of patients at 1 month, 6 months, and 12 months, respectively. There was a marked drop in the frequency of more marked pain and swelling (VCSS \u2265 2) from 62 % to 5 % and 93 % to 19 %, respectively. Four limbs had venous ulcers, three healed during the follow-up. Cumulative pri- mary stent patency at 12 months was 100 % and 87 % in patients with NIVL and PTO, respectively (p= 0.032). There was no statistical difference in clinical outcome between these subgroups. Conclusions: The Vici Venous Stent\u00ae placed in the ilio-femoral vein segment in patients with symptomatic VOO revealed no safety issues, had excellent primary patency and substantial symptom improvement. Long-term studies are needed to evaluate the durability of this stenting procedure. <\/jats:p>","DOI":"10.1024\/0301-1526\/a000731","type":"journal-article","created":{"date-parts":[[2018,9,3]],"date-time":"2018-09-03T14:42:00Z","timestamp":1535985720000},"page":"475-481","source":"Crossref","is-referenced-by-count":37,"title":["Placement of closed-cell designed venous stents in a mixed cohort of patients with chronic venous outflow obstructions \u2013 short-term safety, patency, and clinical outcomes"],"prefix":"10.1024","volume":"47","author":[{"given":"Michael","family":"Lichtenberg","sequence":"first","affiliation":[{"name":"Venous Centre, Klinikum Arnsberg GmbH,                     Arnsberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Breuckmann","sequence":"additional","affiliation":[{"name":"Venous Centre, Klinikum Arnsberg GmbH,                     Arnsberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilhelm","family":"Friedrich Stahlhoff","sequence":"additional","affiliation":[{"name":"Venous Centre, Klinikum Arnsberg GmbH,                     Arnsberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Negl\u00e9n","sequence":"additional","affiliation":[{"name":"Venous Centre, Klinikum Arnsberg GmbH,                     Arnsberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rick","family":"de Graaf","sequence":"additional","affiliation":[{"name":"Venous Centre, Klinikum Arnsberg GmbH,                     Arnsberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.02.007"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.115.002772"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2004.09.027"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.06.161"},{"key":"c5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2017.04.007"},{"key":"c6","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(95)70195-8"},{"key":"c7","doi-asserted-by":"publisher","DOI":"10.1177\/1531003512438407"},{"key":"c8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2017.10.014"},{"key":"c9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.05.011"},{"key":"c10","doi-asserted-by":"publisher","DOI":"10.1177\/1526602816676803"},{"key":"c11","first-page":"255","volume":"54","author":"O\u2019Sullivan GJ","year":"2013","journal-title":"J Cardiovasc Surg"},{"key":"c12","author":"O\u2019Sullivan GJ","year":"2018","journal-title":"Presentation at Leipzig Interventional Course"},{"key":"c13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.06.035"},{"key":"c14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.06.046"}],"container-title":["Vasa"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1024\/0301-1526\/a000731","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T07:00:22Z","timestamp":1677481222000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/0301-1526\/a000731"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,1]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,10,1]]}},"alternative-id":["10.1024\/0301-1526\/a000731"],"URL":"https:\/\/doi.org\/10.1024\/0301-1526\/a000731","relation":{},"ISSN":["0301-1526","1664-2872"],"issn-type":[{"value":"0301-1526","type":"print"},{"value":"1664-2872","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10,1]]}}}