Endovascular management of extensive lower extremity acute deep vein thrombosis with AngioJet rheolytic thrombectomy plus catheter-directed thrombolysis from contralateral femoral access.

Abstract

PURPOSE:

The aim of the present study was to report the clinical outcomes of endovascular treatment for extensive lower limb deep vein thrombosis with AngioJet rheolytic thrombectomy (ART) plus catheter-directed thrombolysis (CDT) using a contralateral femoral approach.

METHODS:

A retrospective analysis of consecutive ART+CDT treatments in 38 deep vein thrombosis patients (LET I-III, from September 2014 to March 2016) was performed.

RESULTS:

The technical success rate was 100%. Complete lysis was achieved in 82% of LET III segments (calf veins), 87% of LET II segments (popliteal-femoral veins), and 90% of LET III segments (iliac veins). The best results were obtained in patients treated within seven days of symptom onset. During follow-up, well-preserved, competent femoral valves were observed in 86% of the patients, and recanalization of LET III, LET II, and LET I segments was achieved in 100%, 94%, and 91% of the patients, respectively. The post-thrombotic syndrome rate was 17% during a mean 20-month follow-up.

• Authors: Guang Liu, Zhen Zhao, Chaoyi Cui, Kaichuang Ye, Minyi Yin, Xaiobing Liu, Jinbao Qin, Xintian Huang, Min Lu, Mier Jiang, Weimin Li, Xinwu Lu
• Journal: Phlebology (Phlebology) Vol. 34 Issue 4 Pg. 257-265 (May 2019) ISSN: 1758-1125 [Electronic] England
• PMID: 30049252 (Publication Type: Clinical Trial, Journal Article)

Topics

• Acute Disease
• Adult
• Aged
• Catheterization, Peripheral (instrumentation, methods)
• Endovascular Procedures (instrumentation, methods)
• Female
• Femoral Vein (surgery)
• Humans
• Lower Extremity (physiopathology, surgery)
• Male
• Mechanical Thrombolysis (instrumentation, methods)
• Middle Aged
• Retrospective Studies
• Venous Thrombosis (physiopathology, surgery)