Department of Vascular and Oncological Interventional Radiology, Institut Cardiovasculaire de Strasbourg (ICS), Clinique Rhena, 67000 Strasbourg, France
Arthur David
Department of Interventional Radiology, CHU Nantes, 44000 Nantes, France
Frédéric Douane
Department of Interventional Radiology, CHU Nantes, 44000 Nantes, France
Yann Le Bras
Department of Radiology, Pellegrin Hospital, Place Amélie Raba Léon, 33076 Bordeaux, France
Valérie Monnin-Bares
Department of Imaging and Interventional Radiology, Montpellier University Hospital (CHU), 34000 Montpellier, France
Jean-François Heautot
Radiology Department, University Hospital Pontchaillou, 35000 Rennes, France
Hervé Rousseau
Cardiac Imaging Centre, Toulouse University Hospital, 31000 Toulouse, France
Thomas Martinelli
Department of Medical Imaging and Radiology, Valence Hospital, 179 bd Maréchal Juin, 26953 Valence, France
Francine Thouveny
Vascular Radiology, University Hospital, 49000 Angers, France
Pierre-Antoine Barral
Department of Radiology, La Timone Hospital, Assistance Publique des Hôpitaux de Marseille, 13000 Marseille, France
Vincent Le Pennec
Department of Interventional and Diagnostic Imaging, University Hospital of Caen, Avenue de la Côte de Nacre, 14033 Caen, France
Pascal Chabrot
Department of Vascular Radiology, Hôpital Gabriel Montpied, CHU Clermont-Ferrand, Place Henri Dunant, 63000 Clermont-Ferrand, France
André Rogopoulos
Department of Radiology, Institut Arnault Tzanck, 06700 Saint-Laurent du Var, France
Ludwig Serge Aho-Glélé
Department of Epidemiology, Statistics and Clinical Research, Hôpital Universitaire François-Mitterrand, 21079 Dijon, France
Marc Sapoval
Vascular and Oncological Interventional Radiology Department, Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges-Pompidou, 75015 Paris, France
Mathieu Rodière
Department of Interventional Radiology, CHU Grenoble, 38000 Grenoble, France
Olivier Chevallier
Department of Interventional Radiology, CHU Dijon, 21000 Dijon, France
Nicolas Falvo
Department of Interventional Radiology, CHU Dijon, 21000 Dijon, France
Romaric Loffroy
Department of Interventional Radiology, CHU Dijon, 21000 Dijon, France
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 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.
