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Catheter-Directed Thrombolysis in Acute Iliofemoral Deep Vein Thrombosis with or without Stenting: A Case Series

Iliofemoral deep vein thrombosis (IFDVT) is a potentially devastating condition comprising a quarter of all cases of lower extremity DVT. It can lead to serious consequences such as pulmonary embolism, limb malperfusion, and post-thrombotic syndrome (PTS), which is a chronic sequela of IFDVT. We her...

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Autores principales: Haji Zeinali, Ali Mohammad, Jenab, Yaser, Ariannejad, Hamid, Kassaian, Seyed Ebrahim, Alidoosti, Mohammad, Aghajani, Hassan, Zafarghandi, Mohammad Reza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tehran University of Medical Sciences, 2006- 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450815/
https://www.ncbi.nlm.nih.gov/pubmed/30972118
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author Haji Zeinali, Ali Mohammad
Jenab, Yaser
Ariannejad, Hamid
Kassaian, Seyed Ebrahim
Alidoosti, Mohammad
Aghajani, Hassan
Zafarghandi, Mohammad Reza
author_facet Haji Zeinali, Ali Mohammad
Jenab, Yaser
Ariannejad, Hamid
Kassaian, Seyed Ebrahim
Alidoosti, Mohammad
Aghajani, Hassan
Zafarghandi, Mohammad Reza
author_sort Haji Zeinali, Ali Mohammad
collection PubMed
description Iliofemoral deep vein thrombosis (IFDVT) is a potentially devastating condition comprising a quarter of all cases of lower extremity DVT. It can lead to serious consequences such as pulmonary embolism, limb malperfusion, and post-thrombotic syndrome (PTS), which is a chronic sequela of IFDVT. We herewith present 18 IFDVT cases managed with catheter-directed thrombolysis at our hospital. Nine of these patients underwent stenting of the involved iliac veins. The remaining 9, who did not receive stenting, had a residual stenosis of more than 50% in the common femoral or iliac veins following the procedure. Based on a final residual stenosis of less than 50% in the iliac veins, we had 9 successful (patients with stenting) and 9 unsuccessful procedures (patients without stenting). In subsequent follow-ups at a median follow-up of 39.5 months, using the Villalta score, while only 2 out of the 9 patients who underwent stenting suffered PTS, 4 patients among the other 9 patients comprising the non-stenting group developed PTS. Our results support the notion that stenting might have a role in decreasing the PTS risk in patients undergoing catheter-directed thrombolysis.
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spelling pubmed-64508152019-04-10 Catheter-Directed Thrombolysis in Acute Iliofemoral Deep Vein Thrombosis with or without Stenting: A Case Series Haji Zeinali, Ali Mohammad Jenab, Yaser Ariannejad, Hamid Kassaian, Seyed Ebrahim Alidoosti, Mohammad Aghajani, Hassan Zafarghandi, Mohammad Reza J Tehran Heart Cent Case Series Iliofemoral deep vein thrombosis (IFDVT) is a potentially devastating condition comprising a quarter of all cases of lower extremity DVT. It can lead to serious consequences such as pulmonary embolism, limb malperfusion, and post-thrombotic syndrome (PTS), which is a chronic sequela of IFDVT. We herewith present 18 IFDVT cases managed with catheter-directed thrombolysis at our hospital. Nine of these patients underwent stenting of the involved iliac veins. The remaining 9, who did not receive stenting, had a residual stenosis of more than 50% in the common femoral or iliac veins following the procedure. Based on a final residual stenosis of less than 50% in the iliac veins, we had 9 successful (patients with stenting) and 9 unsuccessful procedures (patients without stenting). In subsequent follow-ups at a median follow-up of 39.5 months, using the Villalta score, while only 2 out of the 9 patients who underwent stenting suffered PTS, 4 patients among the other 9 patients comprising the non-stenting group developed PTS. Our results support the notion that stenting might have a role in decreasing the PTS risk in patients undergoing catheter-directed thrombolysis. Tehran University of Medical Sciences, 2006- 2018-10 /pmc/articles/PMC6450815/ /pubmed/30972118 Text en Copyright © 2015 Tehran Heart Center, Tehran University of Medical Sciences This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Haji Zeinali, Ali Mohammad
Jenab, Yaser
Ariannejad, Hamid
Kassaian, Seyed Ebrahim
Alidoosti, Mohammad
Aghajani, Hassan
Zafarghandi, Mohammad Reza
Catheter-Directed Thrombolysis in Acute Iliofemoral Deep Vein Thrombosis with or without Stenting: A Case Series
title Catheter-Directed Thrombolysis in Acute Iliofemoral Deep Vein Thrombosis with or without Stenting: A Case Series
title_full Catheter-Directed Thrombolysis in Acute Iliofemoral Deep Vein Thrombosis with or without Stenting: A Case Series
title_fullStr Catheter-Directed Thrombolysis in Acute Iliofemoral Deep Vein Thrombosis with or without Stenting: A Case Series
title_full_unstemmed Catheter-Directed Thrombolysis in Acute Iliofemoral Deep Vein Thrombosis with or without Stenting: A Case Series
title_short Catheter-Directed Thrombolysis in Acute Iliofemoral Deep Vein Thrombosis with or without Stenting: A Case Series
title_sort catheter-directed thrombolysis in acute iliofemoral deep vein thrombosis with or without stenting: a case series
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450815/
https://www.ncbi.nlm.nih.gov/pubmed/30972118
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