Endovascular management of extensive lower extremity acute deep vein thrombosis with AngioJet rheolytic thrombectomy plus catheter-directed thrombolysis from contralateral femoral access.

Autor: Liu, Guang, Zhao, Zhen, Cui, Chaoyi, Ye, Kaichuang, Yin, Minyi, Liu, Xaiobing, Qin, Jinbao, Huang, Xintian, Lu, Min, Jiang, Mier, Li, Weimin, Lu, Xinwu
Předmět:
Zdroj: Phlebology; May2019, Vol. 34 Issue 4, p257-265, 9p
Abstrakt: Purpose: The aim of the present study was to report the clinical outcomes of endovascular treatment for extensive lower limb deep vein thrombosis with AngioJet rheolytic thrombectomy (ART) plus catheter-directed thrombolysis (CDT) using a contralateral femoral approach. Methods: A retrospective analysis of consecutive ART+CDT treatments in 38 deep vein thrombosis patients (LET I-III, from September 2014 to March 2016) was performed. Results: The technical success rate was 100%. Complete lysis was achieved in 82% of LET III segments (calf veins), 87% of LET II segments (popliteal-femoral veins), and 90% of LET III segments (iliac veins). The best results were obtained in patients treated within seven days of symptom onset. During follow-up, well-preserved, competent femoral valves were observed in 86% of the patients, and recanalization of LET III, LET II, and LET I segments was achieved in 100%, 94%, and 91% of the patients, respectively. The post-thrombotic syndrome rate was 17% during a mean 20-month follow-up. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index