📊 Evidence-Based Reference

Vici Venous Stent System

Boston Scientific Corporation

Product: Vici Venous Stent System — all models and sizes

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Summary: The Vici Venous Stent System by Boston Scientific is used for treating chronic iliofemoral venous outflow obstruction. Key evidence includes a 3-year follow-up study showing its effectiveness.

FDA Clearance Information

Pathway ? PMA
Number ? P180013 ↗
Decision Date ? June 29, 2021
Product Code ? QAN Stent, Iliac Vein
Device Class ? Class 3
Evidence ? 3 studies

The Vici Venous Stent System received FDA clearance through the PMA pathway on June 29, 2021. It is manufactured by Boston Scientific and classified as a Class 3 device.

What It Is

The Vici Venous Stent System is a self-expanding stent designed to treat venous obstructions, particularly in the iliofemoral veins. It is intended for use in patients with chronic venous outflow obstruction to restore proper blood flow.

FDA-Cleared Indications

  • Treatment of chronic iliofemoral venous outflow obstruction.
  • Use in patients enrolled in the VIRTUS premarket study, with labeling updated to include final 3-year follow-up results.

Clinical Applications

  • Endovascular stenting of chronic obstruction in the iliofemoral veins.
  • Treatment of venous narrowing or blockage involving the iliac and common femoral venous outflow pathway.
  • Placement through a catheter-based procedure to improve venous drainage and blood flow.

Reported off-label uses

  • Treatment of selected venous obstructions outside the labeled iliofemoral anatomy, such as some central or upper-extremity venous lesions, when judged appropriate by a specialist.

Off-label use: these uses are reported in practice or the literature but are not part of the FDA-cleared indications. Physicians may use a cleared device off-label based on their medical judgment; the manufacturer may not promote off-label uses.

Evidence Summary

The available literature includes three studies, with types ranging from clinical trials to observational studies. The studies span from the initial premarket evaluation to ongoing follow-up research.

Reported Outcomes

Published studies report that the Vici Venous Stent System effectively manages chronic venous outflow obstruction, with significant improvements in venous patency and symptom relief. The VIRTUS study highlights its long-term efficacy over a 3-year period.

Safety Profile

Reported complications include potential risks associated with endovascular procedures, such as thrombosis and stent migration. However, specific safety data from the provided studies are limited.

Evidence Limitations

The evidence is limited by the small number of studies and the lack of detailed safety outcomes. Further research is needed to confirm long-term safety and effectiveness in diverse patient populations.

Practical Considerations

  • The stent is self-expanding and is delivered through a catheter under fluoroscopic or other image guidance.
  • Available sizes and delivery-system requirements should be confirmed in the current manufacturer instructions for use; sizing depends on the treated vein and lesion length.
  • The device is intended for venous anatomy and should not be used in arteries or outside the labeled indication without specialist assessment.
  • MRI conditions should be checked in the current device labeling before scanning; patients should tell MRI staff that they have a venous stent.
  • Contraindications and precautions include inability to receive appropriate antithrombotic treatment, active infection near the treatment site, unsuitable vessel size or anatomy, and significant untreated thrombus or obstruction.

Procedures that use this device

Linked Studies (3)

PubMed • 2022

A Comparison of Patient and Device Issues Reported for Recalled Venous Stent Systems.

Annals of vascular surgery

RCT|prospective|retrospective|case Series|other View Source →
ClinicalTrials.gov

VIRTUS: An Evaluation of the Vici™ Venous Stent System in Patients With Chronic Iliofemoral Venous Outflow Obstruction

View Source →
ClinicalTrials.gov

Clinical Outcomes of IVUS-guided Stenting Using the Boston Scientific Vici® Venous Stent System in Treating Patients With Chronic Non-malignant Iliofemoral Vein Obstruction

View Source →

Frequently Asked Questions

What are the clinical indications for Vici Venous Stent System?

The device is indicated for treating chronic iliofemoral venous outflow obstruction, as supported by the VIRTUS study results.

What outcomes have been reported in clinical studies?

Studies report improved venous patency and symptom relief in patients with chronic venous obstruction.

What complications have been reported?

Safety data from studies are limited, but potential complications include thrombosis and stent migration.

Disclaimer: This page compiles publicly available regulatory and published clinical evidence for educational reference. It does not constitute medical advice, product endorsement, or a recommendation for clinical use. Always consult manufacturer documentation and clinical judgment for patient care decisions.

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