Mechanical Thrombectomy in patients with deep venous thrombosis

To report our experience with mechanical thrombectomy in proximal deep vein thrombosis (DVT). Eighteen patients with a mean (+/- SD) age of 37.6 +/- 16.1 years who presented with DVT in the iliac and femoral vein (n = 3), inferior vena cava (n = 5), or inferior vena cava and iliac vein (n = 10), wer...

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Veröffentlicht in:Cardiovascular and interventional radiology 2001-01, Vol.24 (1), p.42-48
Hauptverfasser: DELOMEZ, Maxence, BEREGI, Jean-Paul, WILLOTEAUX, Serge, BAUCHART, Jean-Jacques, D'OTHEE, Bertrand Janne, ASSEMAN, Philippe, PEREZ, Nessim, THERY, Claude
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container_end_page 48
container_issue 1
container_start_page 42
container_title Cardiovascular and interventional radiology
container_volume 24
creator DELOMEZ, Maxence
BEREGI, Jean-Paul
WILLOTEAUX, Serge
BAUCHART, Jean-Jacques
D'OTHEE, Bertrand Janne
ASSEMAN, Philippe
PEREZ, Nessim
THERY, Claude
description To report our experience with mechanical thrombectomy in proximal deep vein thrombosis (DVT). Eighteen patients with a mean (+/- SD) age of 37.6 +/- 16.1 years who presented with DVT in the iliac and femoral vein (n = 3), inferior vena cava (n = 5), or inferior vena cava and iliac vein (n = 10), were treated with the Amplatz Thrombectomy Device after insertion of a temporary caval filter. Successful recanalization was achieved in 15 of 18 patients (83%). Overall, the percentage of thrombus removed was 66 +/- 29%: 73 +/- 30% at caval level and 55 +/- 36% at iliofemoral level. Complementary interventions (seven patients) were balloon angioplasty (n = 2), angioplasty and stenting (n = 2), thrombo-aspiration alone (n = 1), thrombo-aspiration, balloon angioplasty, and permanent filter (n = 1), and permanent filter alone (n = 1). There was one in-hospital death. Follow-up was obtained at a mean of 29.6 months; three patients had died (two cancers, one myocardial infarction); 10 had no or minimal sequelae; one had post-phlebitic limb. Mechanical thrombectomy is a potential therapeutic option in patients presenting with proximal DVT.
doi_str_mv 10.1007/s002700001658
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Eighteen patients with a mean (+/- SD) age of 37.6 +/- 16.1 years who presented with DVT in the iliac and femoral vein (n = 3), inferior vena cava (n = 5), or inferior vena cava and iliac vein (n = 10), were treated with the Amplatz Thrombectomy Device after insertion of a temporary caval filter. Successful recanalization was achieved in 15 of 18 patients (83%). Overall, the percentage of thrombus removed was 66 +/- 29%: 73 +/- 30% at caval level and 55 +/- 36% at iliofemoral level. Complementary interventions (seven patients) were balloon angioplasty (n = 2), angioplasty and stenting (n = 2), thrombo-aspiration alone (n = 1), thrombo-aspiration, balloon angioplasty, and permanent filter (n = 1), and permanent filter alone (n = 1). There was one in-hospital death. Follow-up was obtained at a mean of 29.6 months; three patients had died (two cancers, one myocardial infarction); 10 had no or minimal sequelae; one had post-phlebitic limb. Mechanical thrombectomy is a potential therapeutic option in patients presenting with proximal DVT.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>11178712</pmid><doi>10.1007/s002700001658</doi><tpages>7</tpages></addata></record>
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subjects Adult
Biological and medical sciences
Blood and lymphatic vessels
Blood clots
Cardiology. Vascular system
Catheters
DEATH
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Equipment Design
FILTERS
Humans
LIMBS
Medical sciences
MYOCARDIAL INFARCTION
NEOPLASMS
PATIENTS
RADIOLOGY AND NUCLEAR MEDICINE
Surgery
Thrombectomy - instrumentation
THROMBOSIS
Time Factors
VEINS
Veins & arteries
Venous Thrombosis - surgery
title Mechanical Thrombectomy in patients with deep venous thrombosis
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