| Autor: |
Delomez, Maxence, Beregi, Jean-Paul, Willoteaux, Serge, Bauchart, Jean-Jacques, d’Othée, Bertrand, Asseman, Philippe, Perez, Nessim, Théry, Claude, Delomez, M, Beregi, J P, Willoteaux, S, Bauchart, J J, Janne d'Othée, B, Asseman, P, Perez, N, Théry, C |
| Zdroj: |
CardioVascular & Interventional Radiology; Jan2001, Vol. 24 Issue 1, p42-48, 7p |
| Abstrakt: |
Purpose: To report our experience with mechanical thrombectomy in proximal deep vein thrombosis (DVT).Methods: Eighteen patients with a mean (+/- SD) age of 37.6 +/- 16.1 years who presented with DVT in the iliac and femoral vein (n = 3), inferior vena cava (n = 5), or inferior vena cava and iliac vein (n = 10), were treated with the Amplatz Thrombectomy Device after insertion of a temporary caval filter.Results: Successful recanalization was achieved in 15 of 18 patients (83%). Overall, the percentage of thrombus removed was 66 +/- 29%: 73 +/- 30% at caval level and 55 +/- 36% at iliofemoral level. Complementary interventions (seven patients) were balloon angioplasty (n = 2), angioplasty and stenting (n = 2), thrombo-aspiration alone (n = 1), thrombo-aspiration, balloon angioplasty, and permanent filter (n = 1), and permanent filter alone (n = 1). There was one in-hospital death. Follow-up was obtained at a mean of 29.6 months; three patients had died (two cancers, one myocardial infarction); 10 had no or minimal sequelae; one had post-phlebitic limb.Conclusion: Mechanical thrombectomy is a potential therapeutic option in patients presenting with proximal DVT. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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