Viewing Study NCT06437561



Ignite Creation Date: 2024-06-16 @ 11:49 AM
Last Modification Date: 2024-10-26 @ 3:31 PM
Study NCT ID: NCT06437561
Status: COMPLETED
Last Update Posted: 2024-06-03
First Post: 2024-05-25

Brief Title: Report of Ten Cases of Venous Aneurysm in Extremities
Sponsor: Golestan University of Medical sciences
Organization: Golestan University of Medical sciences

Study Overview

Official Title: Venous Aneurysm a Case Series and Review of Literature
Status: COMPLETED
Status Verified Date: 2024-05
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Venous aneurysms are not common in general but because of the inherent risk of thrombosis in aneurysms their timely diagnosis and treatment are recommended in most of the current sources Ten cases of venous aneurysms were diagnosed and managed in our vascular surgery department from October 2018 to January 2024 Patient information was extracted from their files retrospectively
Detailed Description: A vascular aneurysm is defined as the focal dilatation of a vessel Aneurysm is classically used for arterial dilatations although dilatations can occur in any part of the vascular system including veins Venous aneurysms are not common in general but with the increase in the use of duplex ultrasound the number of cases diagnosed with venous aneurysms has recently increased Venous aneurysms are more common in the lower limbs and in the lower limbs the involvement of the deep venous system is much more than the superficial venous system According to reports 77 of venous aneurysms are present in the lower limbs of which 57 are in the deep venous system and 15 in the superficial venous system

Considering their rarity venous aneurysms may cause diagnostic challenges in some cases

The importance of these aneurysms especially in the lower limbs which inherently have relative stasis due to the opposite flow direction of gravity is that by creating venous stasis and whirlwind blood flow inside the aneurysm they increase the susceptibility to clotting Also due to dysfunction of the pigeon nest valves they cause chronic venous insufficiency Although clot formation and subsequent pulmonary embolism are more common in deep venous aneurysms cases of pulmonary embolism secondary to superficial venous aneurysms of the lower limbs have also been reported

Complications caused by chronic venous insufficiency are more common in aneurysms that occur at the main junctions of superficial and deep veins including saphenous femoral and saphenous popliteal junctions

Considering the possible complications mentioned about venous aneurysms these aneurysms need treatment regardless of their location and although in the superficial system surgical resection is the most commonly recommended method other surgical methods such as aneurysmectomy and primary repair resection and graft interposition and also endovascular methods have been used Of course in case of insufficiency in the venous system specific treatment of the cause of insufficiency such as stripping of the large saphenous vein is necessary in addition to the treatment of the aneurysm

Regarding the follow-up after the treatment of aneurysms of the superficial system most articles have recommended short-term treatment with anticoagulants and control of the superficial and deep systems through color doppler

In this case series we present 10 cases of venous aneurysms and discuss their presentation diagnosis and management

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: False
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None