Pharmacomechanical thrombectomy for acute symptomatic lower extremity deep venous thrombosis

The Heart Surgery Forum
Eyüp Serhat CalikBilgehan Erkut

Abstract

The purpose of this study was to evaluate the efficacy and safety of pharmacomechanical thrombectomy performed by using a rotational thrombectomy device for the treatment of deep vein thrombosis. Between April 2012 and November 2014, 17 patients with acute deep vein thrombosis underwent pharmacomechanical thrombolysis. The thrombectomy device was used in a single-session technique for patients with lower-extremity deep vein thrombosis. After the procedure, the effect of thrombolysis was evaluated in 3 grades venographically. Grade I showed lysis of under 50%, and grade III showed complete lysis. Ten patients (58.8%) had an iliofemoral thrombosis and 7 (41.2%) had a femoropopliteal venous thrombosis. At the end of the pharmacomechanical thrombectomy procedure, 12 patients (70%) had complete (grade III) thrombus resolution. Grade I and II lysis were noted in 2 (12%) and 3 (18%) patients, respectively. Additionally, four (23.5%) required an additional lytic infusion as a result of residual thrombi. The overall grade III, II, and I thrombus resolution rates, including the supplemental thrombolysis, were 82.2% (n = 14), 12% (n = 2), and 5.8% (n = 1), respectively. There was no mortality. Based on the present data, use of the Cleaner...Continue Reading

Citations

Jul 18, 2019·Journal of Vascular Surgery Cases and Innovative Techniques·Morten VetrhusLars Fjetland
Jan 20, 2021·The Cochrane Database of Systematic Reviews·Cathryn BroderickMatthew P Armon

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