Cargando…
The results of aspiration thrombecomy in the endovascular treatment for iliofemoral deep vein thrombosis
PURPOSE: The aim of this study is to evaluate the results of aspiration thrombectomy (AT) in the endovascular treatment for iliofemoral deep vein thrombosis (DVT) through the comparison of catheter directed thrombolysis (CDT) alone group and CDT with AT group. METHODS: From November 2001 to April 20...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Surgical Society
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3641369/ https://www.ncbi.nlm.nih.gov/pubmed/23646315 http://dx.doi.org/10.4174/jkss.2013.84.5.292 |
_version_ | 1782268011743281152 |
---|---|
author | Lee, Jae Hoon Kwun, Woo Hyung Suh, Bo Yang |
author_facet | Lee, Jae Hoon Kwun, Woo Hyung Suh, Bo Yang |
author_sort | Lee, Jae Hoon |
collection | PubMed |
description | PURPOSE: The aim of this study is to evaluate the results of aspiration thrombectomy (AT) in the endovascular treatment for iliofemoral deep vein thrombosis (DVT) through the comparison of catheter directed thrombolysis (CDT) alone group and CDT with AT group. METHODS: From November 2001 to April 2011, 100 patients received endovascular treatment with CDT alone or CDT with AT for iliofemoral DVT at Yeungnam University Medical Center. We compared procedure, clinical outcomes and complications between the two groups. RESULTS: The mean age of patients was 60.48 ± 14.57 years. The patients consisted of 41 men and 59 women. CDT alone and CDT with AT were performed in 29 and 71 patients, respectively. The mean procedural time of the CDT-alone group was longer than the CDT with AT group (P < 0.001) and dose of urokinase used during the procedure significantly decreased in the CDT with AT group (P < 0.001). There were no statistically significant differences in clinical outcomes between the two groups. Cases of pulmonary embolism was not noted in each group in our series, but entrapped thrombus during procedure was noted in 6 of 37 in the CDT with AT group and 0 of 9 in the CDT-alone group among 46 patients with prophylactic inferior vena cava (IVC) filter insertion. CONCLUSION: In conclusion, CDT with AT is safe and effective for the treatment of an acute iliofemoral DVT. In AT treatment, prophylactic IVC filter insertion should be considered for the prevention of pulmonary embolism by floating thrombi. |
format | Online Article Text |
id | pubmed-3641369 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | The Korean Surgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-36413692013-05-03 The results of aspiration thrombecomy in the endovascular treatment for iliofemoral deep vein thrombosis Lee, Jae Hoon Kwun, Woo Hyung Suh, Bo Yang J Korean Surg Soc Original Article PURPOSE: The aim of this study is to evaluate the results of aspiration thrombectomy (AT) in the endovascular treatment for iliofemoral deep vein thrombosis (DVT) through the comparison of catheter directed thrombolysis (CDT) alone group and CDT with AT group. METHODS: From November 2001 to April 2011, 100 patients received endovascular treatment with CDT alone or CDT with AT for iliofemoral DVT at Yeungnam University Medical Center. We compared procedure, clinical outcomes and complications between the two groups. RESULTS: The mean age of patients was 60.48 ± 14.57 years. The patients consisted of 41 men and 59 women. CDT alone and CDT with AT were performed in 29 and 71 patients, respectively. The mean procedural time of the CDT-alone group was longer than the CDT with AT group (P < 0.001) and dose of urokinase used during the procedure significantly decreased in the CDT with AT group (P < 0.001). There were no statistically significant differences in clinical outcomes between the two groups. Cases of pulmonary embolism was not noted in each group in our series, but entrapped thrombus during procedure was noted in 6 of 37 in the CDT with AT group and 0 of 9 in the CDT-alone group among 46 patients with prophylactic inferior vena cava (IVC) filter insertion. CONCLUSION: In conclusion, CDT with AT is safe and effective for the treatment of an acute iliofemoral DVT. In AT treatment, prophylactic IVC filter insertion should be considered for the prevention of pulmonary embolism by floating thrombi. The Korean Surgical Society 2013-05 2013-04-24 /pmc/articles/PMC3641369/ /pubmed/23646315 http://dx.doi.org/10.4174/jkss.2013.84.5.292 Text en Copyright © 2013, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/3.0/ Journal of the Korean Surgical Society is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lee, Jae Hoon Kwun, Woo Hyung Suh, Bo Yang The results of aspiration thrombecomy in the endovascular treatment for iliofemoral deep vein thrombosis |
title | The results of aspiration thrombecomy in the endovascular treatment for iliofemoral deep vein thrombosis |
title_full | The results of aspiration thrombecomy in the endovascular treatment for iliofemoral deep vein thrombosis |
title_fullStr | The results of aspiration thrombecomy in the endovascular treatment for iliofemoral deep vein thrombosis |
title_full_unstemmed | The results of aspiration thrombecomy in the endovascular treatment for iliofemoral deep vein thrombosis |
title_short | The results of aspiration thrombecomy in the endovascular treatment for iliofemoral deep vein thrombosis |
title_sort | results of aspiration thrombecomy in the endovascular treatment for iliofemoral deep vein thrombosis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3641369/ https://www.ncbi.nlm.nih.gov/pubmed/23646315 http://dx.doi.org/10.4174/jkss.2013.84.5.292 |
work_keys_str_mv | AT leejaehoon theresultsofaspirationthrombecomyintheendovasculartreatmentforiliofemoraldeepveinthrombosis AT kwunwoohyung theresultsofaspirationthrombecomyintheendovasculartreatmentforiliofemoraldeepveinthrombosis AT suhboyang theresultsofaspirationthrombecomyintheendovasculartreatmentforiliofemoraldeepveinthrombosis AT leejaehoon resultsofaspirationthrombecomyintheendovasculartreatmentforiliofemoraldeepveinthrombosis AT kwunwoohyung resultsofaspirationthrombecomyintheendovasculartreatmentforiliofemoraldeepveinthrombosis AT suhboyang resultsofaspirationthrombecomyintheendovasculartreatmentforiliofemoraldeepveinthrombosis |