Management of acute and chronic iliofemoral venous outflow obstruction: a multidisciplinary team consensus

Stephen A. Black; Abdulrahman Alvi; Sara J. Baker; David Beckett; Karen Breen; Nicholas J. Burfitt; Simon Coles; Alun H. Davies; Neil Davies; Previn Diwakar; Anja Drebes; Kim Fortin; Manjit Gohel; Julian Hague; Christopher J. Hammond; Liz Haslam; Robert G. Jones; Tanya Kearney; Eldon D. Lehmann; James Lenton; Deborah Low; James Metcalfe; Hayley Moore; Bhim J. Odedra; Shirish Prabhudesai; Shaun Quigley; Lakshmi Ratnam; Toby Richards; Prakash Saha; Peter Schnatterbeck; James Scurr; Usman Shaikh; Shoaib Shaikh; Andrew Shawyer; Richard Tippett; Sally Vrebac; Robert Ward; Christopher Watts; Andrew Wigham; Andrew P. Willis; Nick Woodward; Chung S. Lim

doi:10.23736/S0392-9590.19.04278-0

Management of acute and chronic iliofemoral venous outflow obstruction: a multidisciplinary team consensus

Stephen A. Black, Abdulrahman Alvi, Sara J. Baker, David Beckett, Karen Breen, Nicholas J. Burfitt, Simon Coles, Alun H. Davies, Neil Davies, Previn Diwakar, Anja Drebes, Kim Fortin, Manjit Gohel, Julian Hague, Christopher J. Hammond, Liz Haslam, Robert G. Jones, Tanya Kearney, Eldon D. Lehmann, James LentonDeborah Low, James Metcalfe, Hayley Moore, Bhim J. Odedra, Shirish Prabhudesai, Shaun Quigley, Lakshmi Ratnam, Toby Richards, Prakash Saha, Peter Schnatterbeck, James Scurr, Usman Shaikh, Shoaib Shaikh, Andrew Shawyer, Richard Tippett, Sally Vrebac, Robert Ward, Christopher Watts, Andrew Wigham, Andrew P. Willis, Nick Woodward, Chung S. Lim

Surgery

Research output: Contribution to journal › Article › peer-review

26 Citations (Scopus)

Abstract

The aim of this manuscript was to establish a consensus for the management of acute and chronic venous obstruction among specialists in the UK. Specialist physicians representing vascular surgery, interventional radiology and hematology were invited to 3 meetings to discuss management of acute and chronic iliofemoral obstruction. The meetings outlined controversial areas, included a topic-by-topic review; and on completion reached a consensus when greater than 80% agreement was reached on each topic. Physicians from 19 UK hospitals agreed on treatment protocols and highlighted areas that need development. Potential standard treatment algorithms were created. It was decided to establish a national registry of venous patients led by representatives from the treating multidisciplinary teams. Technical improvements have facilitated invasive treatment of patients with acute and chronic venous obstruction; however, the evidence guiding treatment is weak. Treatment should be conducted in centers with multi-disciplinary input; robust, coordinated data collection; and regular outcome analysis to ensure safe and effective treatment and a basis for future evolvement.

Original language	English
Pages (from-to)	3-16
Number of pages	14
Journal	International angiology : a journal of the International Union of Angiology
Volume	39
Issue number	1
DOIs	https://doi.org/10.23736/S0392-9590.19.04278-0
Publication status	Published - 1 Feb 2020

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10.23736/S0392-9590.19.04278-0

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Black, S. A., Alvi, A., Baker, S. J., Beckett, D., Breen, K., Burfitt, N. J., Coles, S., Davies, A. H., Davies, N., Diwakar, P., Drebes, A., Fortin, K., Gohel, M., Hague, J., Hammond, C. J., Haslam, L., Jones, R. G., Kearney, T., Lehmann, E. D., ... Lim, C. S. (2020). Management of acute and chronic iliofemoral venous outflow obstruction: a multidisciplinary team consensus. International angiology : a journal of the International Union of Angiology, 39(1), 3-16. https://doi.org/10.23736/S0392-9590.19.04278-0

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abstract = "The aim of this manuscript was to establish a consensus for the management of acute and chronic venous obstruction among specialists in the UK. Specialist physicians representing vascular surgery, interventional radiology and hematology were invited to 3 meetings to discuss management of acute and chronic iliofemoral obstruction. The meetings outlined controversial areas, included a topic-by-topic review; and on completion reached a consensus when greater than 80% agreement was reached on each topic. Physicians from 19 UK hospitals agreed on treatment protocols and highlighted areas that need development. Potential standard treatment algorithms were created. It was decided to establish a national registry of venous patients led by representatives from the treating multidisciplinary teams. Technical improvements have facilitated invasive treatment of patients with acute and chronic venous obstruction; however, the evidence guiding treatment is weak. Treatment should be conducted in centers with multi-disciplinary input; robust, coordinated data collection; and regular outcome analysis to ensure safe and effective treatment and a basis for future evolvement.",

author = "Black, {Stephen A.} and Abdulrahman Alvi and Baker, {Sara J.} and David Beckett and Karen Breen and Burfitt, {Nicholas J.} and Simon Coles and Davies, {Alun H.} and Neil Davies and Previn Diwakar and Anja Drebes and Kim Fortin and Manjit Gohel and Julian Hague and Hammond, {Christopher J.} and Liz Haslam and Jones, {Robert G.} and Tanya Kearney and Lehmann, {Eldon D.} and James Lenton and Deborah Low and James Metcalfe and Hayley Moore and Odedra, {Bhim J.} and Shirish Prabhudesai and Shaun Quigley and Lakshmi Ratnam and Toby Richards and Prakash Saha and Peter Schnatterbeck and James Scurr and Usman Shaikh and Shoaib Shaikh and Andrew Shawyer and Richard Tippett and Sally Vrebac and Robert Ward and Christopher Watts and Andrew Wigham and Willis, {Andrew P.} and Nick Woodward and Lim, {Chung S.}",

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Black, SA, Alvi, A, Baker, SJ, Beckett, D, Breen, K, Burfitt, NJ, Coles, S, Davies, AH, Davies, N, Diwakar, P, Drebes, A, Fortin, K, Gohel, M, Hague, J, Hammond, CJ, Haslam, L, Jones, RG, Kearney, T, Lehmann, ED, Lenton, J, Low, D, Metcalfe, J, Moore, H, Odedra, BJ, Prabhudesai, S, Quigley, S, Ratnam, L, Richards, T, Saha, P, Schnatterbeck, P, Scurr, J, Shaikh, U, Shaikh, S, Shawyer, A, Tippett, R, Vrebac, S, Ward, R, Watts, C, Wigham, A, Willis, AP, Woodward, N & Lim, CS 2020, 'Management of acute and chronic iliofemoral venous outflow obstruction: a multidisciplinary team consensus', International angiology : a journal of the International Union of Angiology, vol. 39, no. 1, pp. 3-16. https://doi.org/10.23736/S0392-9590.19.04278-0

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AU - Black, Stephen A.

AU - Alvi, Abdulrahman

AU - Baker, Sara J.

AU - Beckett, David

AU - Breen, Karen

AU - Burfitt, Nicholas J.

AU - Coles, Simon

AU - Davies, Alun H.

AU - Davies, Neil

AU - Diwakar, Previn

AU - Drebes, Anja

AU - Fortin, Kim

AU - Gohel, Manjit

AU - Hague, Julian

AU - Hammond, Christopher J.

AU - Haslam, Liz

AU - Jones, Robert G.

AU - Kearney, Tanya

AU - Lehmann, Eldon D.

AU - Lenton, James

AU - Low, Deborah

AU - Metcalfe, James

AU - Moore, Hayley

AU - Odedra, Bhim J.

AU - Prabhudesai, Shirish

AU - Quigley, Shaun

AU - Ratnam, Lakshmi

AU - Richards, Toby

AU - Saha, Prakash

AU - Schnatterbeck, Peter

AU - Scurr, James

AU - Shaikh, Usman

AU - Shaikh, Shoaib

AU - Shawyer, Andrew

AU - Tippett, Richard

AU - Vrebac, Sally

AU - Ward, Robert

AU - Watts, Christopher

AU - Wigham, Andrew

AU - Willis, Andrew P.

AU - Woodward, Nick

AU - Lim, Chung S.

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Management of acute and chronic iliofemoral venous outflow obstruction: a multidisciplinary team consensus

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