About 90 % of vascular symptoms affecting the lower limbs consist of venous diseases. Its highest incidence occurs from the second decade of life, affecting significantly the economically active population. Chronic Venous Insufficiency treatment aims to relieve symptoms, treat and prevent complications, prevent recurrences and provide cosmetic satisfaction with minimal side effects. It's current treatment includes some classic postural measures (leg elevation), elastic stockings and bandages compression therapy and possible medication (phlebotonics). The results in the medium and long term are unfavorable, since a large number of patients do not get better or evolves with recurrence of symptoms. Nowadays many, no prospective , not randomized , international studies have shown favorable results with endovascular treatment of obstruction in the iliac vein territory in patients with advanced Chronic Venous Insufficiency . The purpose of this prospective, double-blinded randomized study is to evaluate the results obtained with endovascular treatment, through the use of angioplasty and stenting in this group of patients when compared with clinical treatment .
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
50
Aminaftone -- 75 mg BID
Iliac Vein Stenting
CEAP 3-5 \> 20-30 mmHg compression stockings CEAP 6 \> elastic bandages
CEAP 6 \> Unna boot dressing
Instituto Dante Pazzanese de Cardilogia
São Paulo, São Paulo, Brazil
Change from baseline in pain on the Pain Visual Analogue Sacale at 6 months
Time frame: 6 months
Venous ulcer cicatrization at 6 months
Time frame: 6 months
Change from the baseline Venous Clinical Severity Score at 6 month
Time frame: 6 months
Change from baseline in SF-36 Quality of Life questionnaire at 6 months
Time frame: 6 months
Stent integrity at 6 months
Time frame: 6 months
Stent position at 6 months
Pelvic X-ray
Time frame: 6 months
Stent patency at 6 months
Stent patency obtained with treated venous segment Duplex Scanning
Time frame: 6 months
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