Pharmacomechanical thrombolysis in the management of acute inferior vena cava filter occlusion using the Trellis-8 device

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Bernardino C BrancoLuis R Leon

Abstract

To evaluate the performance and safety of the Trellis-8 system, a pharmacomechanical thrombolysis infusion catheter, and adjunctive therapies in the treatment of symptomatic inferior vena cava (IVC) filter-related acute thrombotic occlusion. Eight consecutive patients (6 men; mean age 57.4 years, range 34-78 years) with acute thrombotic occlusion of the IVC in the presence of an IVC filter underwent percutaneous venous thrombectomy using the Trellis-8 thrombectomy system and adjunctive techniques between January 2009 and November 2013. Demographics, clinical data, procedures, and outcomes were retrospectively reviewed. All patients had clinical signs of lower extremity venous hypertension on presentation. The median time between IVC filter placement and occlusion was 25 months. Patients were followed for the development of thromboembolic complications to the last clinic visit or until they died. The procedure was technically successful in 6 patients, whereas it could not be performed in 2 due to failure to cross the occlusion. The median follow-up period was 7.8 months, at which time all patients undergoing successful Trellis-8 thrombectomy had relief of symptoms without thromboembolic or bleeding complications. In this limited...Continue Reading

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Citations

Mar 10, 2016·JACC. Cardiovascular Interventions·Mohamad AlkhouliRiyaz Bashir
Mar 3, 2018·Vascular·Bernardino C BrancoLuis R Leon

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