Catheter-directed thrombolysis and/or thrombectomy with selective endovascular stenting as alternatives to systemic anticoagulation for treatment of acute deep vein thrombosis - 18/08/11
, Xiu-Jie Wang, M.D., Stanley J. Dudrick, M.D. : F.A.C.S., Gregory D. Gersten, M.D.
Corresponding author. Tel.: +1-203-709-6314; fax: +1-203-709-5877.Abstract |
Purpose |
To evaluate thrombolysis and/or thrombectomy and selective endovascular stent placement in treating acute deep vein thrombosis (DVT).
Methods |
During a 5-year period, 28 patients were treated with catheter-directed thrombolytics and/or thrombectomy with endovascular stent placement. Seventy-two percent (n = 20) of patients had symptoms for less ≤14 days; 14% (n = 4) had symptoms for >14 days. Fourteen percent (n = 4) had recurrent symptoms; 43% (n = 12) had ileofemoral DVT, and 57% (n = 16) had common femoral, superficial femoral, and/or popliteal DVT; and 11% (n = 3) had thrombus extending into the inferior vena cava.
Results |
Eighteen percent (n = 5) of patients had complete thrombolysis of the thrombus; 72% (n = 20) had partial thrombolysis. Twenty-two stents were also placed in 12 patients. Average follow-up was 15.5 months; 80% had long-term patency.
Conclusions |
Catheter-directed thrombolysis and/or thrombectomy and selective stent placement are effective alternatives to systemic anticoagulation in the treatment of DVT. More studies are needed to determine specific indications and to validate long-term efficacy.
Le texte complet de cet article est disponible en PDF.Keywords : Catheter-directed thrombolysis, Deep vein thrombosis, Thrombectomy, Venous stents
Plan
Vol 190 - N° 6
P. 871-876 - décembre 2005 Retour au numéro
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