Thrombolysis and iliofemoral vein stent placement in cancer patients with lower extremity swelling attributed to lymphedema.
Identifieur interne : 001120 ( PubMed/Corpus ); précédent : 001119; suivant : 001121Thrombolysis and iliofemoral vein stent placement in cancer patients with lower extremity swelling attributed to lymphedema.
Auteurs : Gerard J. O'Sullivan ; Dymphna Waldron ; Eileen Mannion ; Maccon Keane ; Paul P. DonnellanSource :
- Journal of vascular and interventional radiology : JVIR [ 1535-7732 ] ; 2015.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Female, Femoral Vein (diagnostic imaging), Femoral Vein (surgery), Follow-Up Studies, Humans, Iliac Vein (diagnostic imaging), Iliac Vein (surgery), Lower Extremity (diagnostic imaging), Lower Extremity (surgery), Lymphedema (complications), Lymphedema (therapy), Male, Middle Aged, Neoplasms (complications), Radiographic Image Enhancement, Retrospective Studies, Stents, Thrombolytic Therapy, Tomography, X-Ray Computed, Ultrasonography, Vena Cava, Inferior (diagnostic imaging), Vena Cava, Inferior (surgery), Venous Thrombosis (complications), Venous Thrombosis (therapy), Young Adult.
- MESH :
- complications : Lymphedema, Neoplasms, Venous Thrombosis.
- diagnostic imaging : Femoral Vein, Iliac Vein, Lower Extremity, Vena Cava, Inferior.
- surgery : Femoral Vein, Iliac Vein, Lower Extremity, Vena Cava, Inferior.
- therapy : Lymphedema, Venous Thrombosis.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Female, Follow-Up Studies, Humans, Male, Middle Aged, Radiographic Image Enhancement, Retrospective Studies, Stents, Thrombolytic Therapy, Tomography, X-Ray Computed, Ultrasonography, Young Adult.
Abstract
To assess the effects of iliofemoral vein stent placement on symptomatic lower extremity swelling (LES), presumed to be lymphedema, in patients with cancer.
DOI: 10.1016/j.jvir.2014.10.010
PubMed: 25541444
Links to Exploration step
pubmed:25541444Le document en format XML
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<author><name sortKey="O Sullivan, Gerard J" sort="O Sullivan, Gerard J" uniqKey="O Sullivan G" first="Gerard J" last="O'Sullivan">Gerard J. O'Sullivan</name>
<affiliation><nlm:affiliation>Department of Interventional Radiology, Galway University Hospitals, Newcastle Road, Galway, Ireland.. Electronic address: gerard.osullivan2@hse.ie.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Waldron, Dymphna" sort="Waldron, Dymphna" uniqKey="Waldron D" first="Dymphna" last="Waldron">Dymphna Waldron</name>
<affiliation><nlm:affiliation>Department of Palliative Medicine, Galway University Hospitals, Newcastle Road, Galway, Ireland.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mannion, Eileen" sort="Mannion, Eileen" uniqKey="Mannion E" first="Eileen" last="Mannion">Eileen Mannion</name>
<affiliation><nlm:affiliation>Department of Palliative Medicine, Galway University Hospitals, Newcastle Road, Galway, Ireland.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Keane, Maccon" sort="Keane, Maccon" uniqKey="Keane M" first="Maccon" last="Keane">Maccon Keane</name>
<affiliation><nlm:affiliation>Department of Oncology, Galway University Hospitals, Newcastle Road, Galway, Ireland.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Donnellan, Paul P" sort="Donnellan, Paul P" uniqKey="Donnellan P" first="Paul P" last="Donnellan">Paul P. Donnellan</name>
<affiliation><nlm:affiliation>Department of Oncology, Galway University Hospitals, Newcastle Road, Galway, Ireland.</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Thrombolysis and iliofemoral vein stent placement in cancer patients with lower extremity swelling attributed to lymphedema.</title>
<author><name sortKey="O Sullivan, Gerard J" sort="O Sullivan, Gerard J" uniqKey="O Sullivan G" first="Gerard J" last="O'Sullivan">Gerard J. O'Sullivan</name>
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<author><name sortKey="Waldron, Dymphna" sort="Waldron, Dymphna" uniqKey="Waldron D" first="Dymphna" last="Waldron">Dymphna Waldron</name>
<affiliation><nlm:affiliation>Department of Palliative Medicine, Galway University Hospitals, Newcastle Road, Galway, Ireland.</nlm:affiliation>
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<author><name sortKey="Mannion, Eileen" sort="Mannion, Eileen" uniqKey="Mannion E" first="Eileen" last="Mannion">Eileen Mannion</name>
<affiliation><nlm:affiliation>Department of Palliative Medicine, Galway University Hospitals, Newcastle Road, Galway, Ireland.</nlm:affiliation>
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<author><name sortKey="Keane, Maccon" sort="Keane, Maccon" uniqKey="Keane M" first="Maccon" last="Keane">Maccon Keane</name>
<affiliation><nlm:affiliation>Department of Oncology, Galway University Hospitals, Newcastle Road, Galway, Ireland.</nlm:affiliation>
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<author><name sortKey="Donnellan, Paul P" sort="Donnellan, Paul P" uniqKey="Donnellan P" first="Paul P" last="Donnellan">Paul P. Donnellan</name>
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<series><title level="j">Journal of vascular and interventional radiology : JVIR</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Femoral Vein (diagnostic imaging)</term>
<term>Femoral Vein (surgery)</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Iliac Vein (diagnostic imaging)</term>
<term>Iliac Vein (surgery)</term>
<term>Lower Extremity (diagnostic imaging)</term>
<term>Lower Extremity (surgery)</term>
<term>Lymphedema (complications)</term>
<term>Lymphedema (therapy)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neoplasms (complications)</term>
<term>Radiographic Image Enhancement</term>
<term>Retrospective Studies</term>
<term>Stents</term>
<term>Thrombolytic Therapy</term>
<term>Tomography, X-Ray Computed</term>
<term>Ultrasonography</term>
<term>Vena Cava, Inferior (diagnostic imaging)</term>
<term>Vena Cava, Inferior (surgery)</term>
<term>Venous Thrombosis (complications)</term>
<term>Venous Thrombosis (therapy)</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lymphedema</term>
<term>Neoplasms</term>
<term>Venous Thrombosis</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Femoral Vein</term>
<term>Iliac Vein</term>
<term>Lower Extremity</term>
<term>Vena Cava, Inferior</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Femoral Vein</term>
<term>Iliac Vein</term>
<term>Lower Extremity</term>
<term>Vena Cava, Inferior</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term>
<term>Venous Thrombosis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiographic Image Enhancement</term>
<term>Retrospective Studies</term>
<term>Stents</term>
<term>Thrombolytic Therapy</term>
<term>Tomography, X-Ray Computed</term>
<term>Ultrasonography</term>
<term>Young Adult</term>
</keywords>
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<front><div type="abstract" xml:lang="en">To assess the effects of iliofemoral vein stent placement on symptomatic lower extremity swelling (LES), presumed to be lymphedema, in patients with cancer.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25541444</PMID>
<DateCreated><Year>2014</Year>
<Month>12</Month>
<Day>26</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>09</Month>
<Day>15</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1535-7732</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>26</Volume>
<Issue>1</Issue>
<PubDate><Year>2015</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Journal of vascular and interventional radiology : JVIR</Title>
<ISOAbbreviation>J Vasc Interv Radiol</ISOAbbreviation>
</Journal>
<ArticleTitle>Thrombolysis and iliofemoral vein stent placement in cancer patients with lower extremity swelling attributed to lymphedema.</ArticleTitle>
<Pagination><MedlinePgn>39-45</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jvir.2014.10.010</ELocationID>
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<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To assess the effects of iliofemoral vein stent placement on symptomatic lower extremity swelling (LES), presumed to be lymphedema, in patients with cancer.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">During the period 2005-2013, 62 patients (38 female; age, 60.4 y ± 15.4) with histology-proven metastatic disease and LES resistant to standard therapies were evaluated and found to have venous outflow obstruction. Stents were placed in the iliofemoral veins or inferior vena cava, or both, and evaluated by color Doppler ultrasound or contrast-enhanced computed tomography during the follow-up period. Patient symptoms were assessed using the Venous Disability Score (VDS) and the Galway Limb Swelling score, a patient-directed, 5-question symptom scoring system.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Stents were successfully placed in all patients. During the follow-up period, in-stent thrombosis occurred in 13 patients, and additional stents were placed in 3 patients to treat luminal narrowing. The mean VDS improved significantly (P < .05): from 3.0 ± 0 on the day of the procedure to 2.95 ± 0.22 on day 3, 2.0 ± 0.33 on day 7, and 1.87 ± 0.34 on day 30. The mean Galway Limb Swelling score also improved significantly (P < 0.001): from 3.6 ± 0.74 on the day of the procedure to 1.96 ± 0.91 on day 3, 1.06 ± 0.78 on day 7, and 0.6 ± 0.66 on day 30. During the follow-up period, 60 patients died as a result of their underlying malignancy (mean, 230 d; range, 5-1,080 d).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Iliofemoral or iliocaval venous stent placement may have a valuable role in patients with metastatic disease and symptomatic LES associated with venous obstruction.</AbstractText>
<CopyrightInformation>Copyright © 2015 SIR. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>O'Sullivan</LastName>
<ForeName>Gerard J</ForeName>
<Initials>GJ</Initials>
<AffiliationInfo><Affiliation>Department of Interventional Radiology, Galway University Hospitals, Newcastle Road, Galway, Ireland.. Electronic address: gerard.osullivan2@hse.ie.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Waldron</LastName>
<ForeName>Dymphna</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Department of Palliative Medicine, Galway University Hospitals, Newcastle Road, Galway, Ireland.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Mannion</LastName>
<ForeName>Eileen</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Department of Palliative Medicine, Galway University Hospitals, Newcastle Road, Galway, Ireland.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Keane</LastName>
<ForeName>Maccon</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Oncology, Galway University Hospitals, Newcastle Road, Galway, Ireland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Donnellan</LastName>
<ForeName>Paul P</ForeName>
<Initials>PP</Initials>
<AffiliationInfo><Affiliation>Department of Oncology, Galway University Hospitals, Newcastle Road, Galway, Ireland.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
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<MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D005268" MajorTopicYN="N">Femoral Vein</DescriptorName>
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</MeshHeading>
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<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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<MeshHeading><DescriptorName UI="D015607" MajorTopicYN="Y">Stents</DescriptorName>
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<MeshHeading><DescriptorName UI="D015912" MajorTopicYN="Y">Thrombolytic Therapy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014057" MajorTopicYN="N">Tomography, X-Ray Computed</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014463" MajorTopicYN="N">Ultrasonography</DescriptorName>
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<MeshHeading><DescriptorName UI="D014682" MajorTopicYN="N">Vena Cava, Inferior</DescriptorName>
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<MeshHeading><DescriptorName UI="D020246" MajorTopicYN="N">Venous Thrombosis</DescriptorName>
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<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
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