Effects of Deep Venous Thrombosis Treatments on Early and Long-term Quality of Life: Medical Therapy vs. Systemic Thrombolysis vs. Pharmacomechanical Thrombolysis.

Autor:	Yıldız Z; Department of Cardiovascular Surgery, Erzurum Regional Education and Research Hospital, Erzurum, Turkey., Kayğın MA; Department of Cardiovascular Surgery, Erzurum Regional Education and Research Hospital, Erzurum, Turkey., Özkara T; Department of Cardiovascular Surgery, Erzurum Regional Education and Research Hospital, Erzurum, Turkey., Limandal HK; Department of Cardiovascular Surgery, Erzurum Regional Education and Research Hospital, Erzurum, Turkey., Diler MS; Department of Cardiovascular Surgery, Erzurum Regional Education and Research Hospital, Erzurum, Turkey., Çüçen Dayı HI; Department of Cardiovascular Surgery, Erzurum Regional Education and Research Hospital, Erzurum, Turkey., Ergün S; Department of Pediatric Cardiovacscular Surgery, Erzurum Regional Education and Research Hospital, Erzurum, Turkey., Dağ Ö; Department of Cardiovascular Surgery, Erzurum Regional Education and Research Hospital, Erzurum, Turkey.
Jazyk:	angličtina
Zdroj:	Vascular and endovascular surgery [Vasc Endovascular Surg] 2024 Jan; Vol. 58 (1), pp. 5-12. Date of Electronic Publication: 2023 Jun 15.
DOI:	10.1177/15385744231184654
Abstrakt:	Objectives: The present study aimed to compare the effects of medical therapy (MT), systemic thrombolysis (ST), and pharmacomechanical thrombolysis (PMT) methods used in our clinic for the treatment of deep venous thrombosis (DVT) on symptom reduction, the incidence of post-thrombotic syndrome (PTS) development, and quality of life. Methods: Data from160 patients diagnosed with acute DVT between January 2012 and May 2021 and treated and followed up in our clinic were retrospectively analyzed. The patients were divided into three groups according to treatment method. The patients who received MT treatment were defined as Group 1, anticoagulant treatment after ST as Group 2, and anticoagulant treatment after PMT as Group 3. The patients were called to the outpatient clinic, informed consent was obtained, EuroQol-5D-3 L (EQ-5D-3 L) scoring and Villalta scoring were performed, and anamnesis was taken. Results: A total of 160 patients were included, with 71 (44.4%) patients in Group 1, 45 (28.1%) in Group 2, and 44 (27.5%) in Group 3. The mean age was 48.9 ± 14.9 years for Group 1, 42.2 ± 10.8 for Group 2, and 29.0 ± 7.2 for Group 3. When the time to return to normal life and the EQ-5D-3 L score index were compared, the differences between Groups 1 and 2 and between Groups 1 and 3 were statistically significant ( P = .000 and P = .000, respectively). However, the differences between Groups 2 and 3 were statistically insignificant ( P = .213 and p = .074, respectively). When Villalta scores and EQ Visual Analogue Scale (EQ-VAS) scores were compared between groups, the difference between all groups was statistically significant ( P = .000). Conclusions: The medical treatment alone was observed to be insufficient in terms of symptomatic improvement, development of PTS, quality of life, and long-term complications. When the ST and PMT groups were compared, it was determined that PMT treatment was more advantageous in terms of EQ-VAS score and PTS development, although there was no statistical difference regarding complications, such as return to normal life and long-term quality of life, the incidence of recurrent DVT development, and pulmonary thromboembolism incidence. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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