• A Prospective Study for Evaluation of Efficacy of Ligation of the Intersphincteric Fistula Tract (Lift) for Treatment of Patints with Fistula-In-Ano
    Mustafa Biomy and Eslam M. Ibrahim
  • A Comparison of Laparoscopic and Open Repair of Perforated Duodenal Ulcer Using Omental Patch: A Prospective Randomized Controlled Trial
    Tamer Alsaied Alnaimy , Tamer Rushdy Elalfy and Mohammed A.Elkilany
  • The Value of Preoperative Ultrasound In Predicting Technical Difficulties During Laparoscopic Cholecystectomy
    Ahmed Mahmoud Hussein1 M.D.; Ahmed Abd Alaziz Mohammad1 M.D.; Ahmed Mohammed Ahmed Nasser2 M.Sc.
  • Iliofemoral Venous Stenting for Patients with Chronic Post-thrombotic Venous Occlusive Disease
    Sherif Essam Eldin Tawfik, MD; Abdelrahman Mohamed Salem, MD
  • Peroneal Artery Angioplasty As a Single Runoff Vessel for Foot Revascularization in Patients with Critical Limb Ischemia
    Abdelrahman Mohammed, MD, Ahmed Kamal Gabr, MD, Sherif Essam Eldin Tawfik, MD
  • Fat Harvesting from the Excised Dermolipectomy Flaps for Fat Augmentation in Various Individuals
    Ashraf Elsebaie MD, Ahmed Abdelsalam Hafiz MD, Ahmed Maher MD, Rasha Abdelkader MD
  • Evelauation of the use of Gastrisailtm Gastric Positioning Device during Laparoscopic Sleeve Gastrectomy, Early Experince
    Ahmed M.S.M Marzouk, Haitham S. Omar
  • Feasibility of Round Block Mammoplasty As a Single Technique For Different Quadrants T1,T2 Malignant Breast Lesions. Fayoum University Hospital experience. A study of 25 patients.
    Hany F. Habashy
  • Laparoscopic Cholecystectomy following ERCP in One Day: A Retrospective Study
    Maged Rihan, MD, MRCS
  • Sleeve Gastrectomy with Hiatus Hernia Repair in 25 Egyptian Morbid Obese : Short Term Results
    Karim Sabry (MD, MRCS) , Wael A Jumuah (MD) ,Yasser El Ghamrini (MD)
  • Polypropylene Suture Fixation versus Fibrin Glue in Lichtenstein Inguinal Hernia Repair: A Prospective Randomized Study
    Ahmed Shoka, MD, MRCS, Fady Makram, MD, FACS, Mohamed Matar, MD, FACS.
  • Effect of Two Bariatric Procedures on Macro- and Micronutrient Levels Inspite of Multivitamin Supplementation
    Mohammed Matar,1 MD, FACS, Ahmed Shoka,1 MD, MRCS, Heba Nader,2 MD
  • Complicated Acute Cholecystitis; Protocol of Management
    Mokhtar Abd Elrahman Bahbah, MD; Ehab M Oraby, MD.
  • Motor Bike Accident is a Main Cause of Maxillofacial Fractures Presenting to Cairo University Hospitals: A Retrospective Study
    Youssif Khachaba, Waleed Reda, Ahmed Abd El Salam, Ahmed Samy Saad Hussein, Nadeen Mohamed El Essawy, Ashraf El Sebaie
  • Early Results of Arterioarterial Prosthetic Loop As a Bail Out Procedure in End Stage Renal Disease Patients With Multi-Access Failure
    Naguib Abdelkreem ElAskary MD, Ahmed Osmane MD
  • The Role of Carbon Dioxide As a Safe Contrast Agent in Endovascular Treatment of Chronic Lower Limb Ischemia in Patients with Renal Impairment or Iodinated Contrast Allergy
    Mahmoud Hamda MS, Naguib Abdelkreem ElAskary MD, Ahmed Osmane MD
  • Plastibell Versus Bone Cutting Techniques in Neonatal and Infantile Circumcision: A Retrospective Study and Review of Outcomes
    Ahmed M.S.M. Marzouk
  • Modalities of Pre-Operative Marking Techniques for Breast Reduction & Mastopexy
    1Waleed AlBadry, MSc, MRCS;1Raafat Gohar, MD; 1Ashraf El-Sebaie; 2Mohamed Salah, MD;1Mohamed Ashraf El Meleigy, MD
  • Iliofemoral Venous Stenting for Patients with Chronic Post-thrombotic Venous Occlusive Disease

    Sherif Essam Eldin Tawfik, MD; Abdelrahman Mohamed Salem, MD
    Department of Vascular Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Introduction: Post-thrombotic syndrome resulting from iliofemoral venous occlusive disease constitutes a magnificent burden to the patient, affecting his functionality. For decades the traditional treatment for chronic iliofemoral venous occlusive disease has been mainly conservative lines of treatment. Unfortunately this conservative treatment did not improve the functional outcome in the vast majority of patients. In our study we aimed at studying the effect of interventional lines of treatment in the form of endovascular iliofemoral venous stenting in patients with chronic post thrombotic syndrome with special emphasis on clinical and functional outcomes after such relatively new line of treatment. Methods: Between March 2013 and January 2015, we enrolled 23 patients with chronic post-thrombotic iliofemoral venous occlusive disease in our prospective interventional clinical study. Our patients were treated by endovascular balloon dilatation and stenting for the affected iliofemoral venous segment through femoral or popliteal vein access. our primary end points were primary and assisted primary patency at 24 months follow up, while secondary end points were clinical and functional outcomes as measured by the Villalta scale and venous disability score (VDS). Results: Data was obtained for 23 patients. All of them presented with unilateral lower limb Post-thrombotic manifestations. The mean duration of post thrombotic symptoms was 17.5 months. The baseline CEAP classification of the 23 patients was, C4 (21.7%), C5 (43.5%), and C6 (34.8%). Immediate technical success was achieved in 19(82.6%) patients. Stenting was attempted in all 19 patients. Analysis of the clinical outcome at 24 months according to the Villalta scale showed a mean Villalta score difference of 15.04, t =7.87, p<0.00001 (highly significant). Analysis of the functional outcome at 24 months according to the venous disability score (VDS) using the Wilcoxon signed rank test showed a mean score difference of 0.84, z= 3.823, p= 0.00014 (highly significant). Primary, and assisted primary patency rates were calculated using survival analysis with the Kaplan-Meier method. Our primary patency rate was 89.4% at 24 months, while our assisted primary patency rate was 100% at 24 months. Conclusion: This study successfully demonstrates a durable 2-years primary, and assisted primary patencies as well as sustained symptomatic relief and significant improvement in functional outcome with the majority of patients able to resume their activities of daily living. Therefore, aggressive endovascular therapy provides durable patency as well as significant clinical and functional improvement in patients with chronic post-thrombotic iliofemoral venous occlusive disease. Keywords: iliofemoral; post thrombotic; venous stenting.