Outcomes of same-day discharge with manual compression and 5F sheath compatible devices for lower extremity arterial endovascular treatment

A 43-year-old woman presented with postpartum haemorrhage necessitating uterine artery embolisation. Prior to embolisation, angiography demonstrated the presence of a persistent sciatic artery (PSA). Due to the possibility of embolic particles inadvertently traveling to the lower extremity via this variant arterial pathway, care was taken to only embolise the uterine artery. PSAs are uncommon but important vascular pathways to screen for during pelvic intervention and are associated with other genitourinary anomalies.

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Endovascular treatment for chronic lower extremity ischaemia with sub-acute deterioration

Diabetes and Vascular Disease Research ◽

10.1177/1479164117695682 ◽

2017 ◽

Vol 14 (4) ◽

pp. 310-315

Author(s):

Liangxi Yuan ◽

Songlin Guo ◽

Jian Dong ◽

Jian Zhou ◽

Qingsheng Lu ◽

...

Keyword(s):

Lower Extremity ◽

Endovascular Treatment

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Endovascular Treatment of Lower Extremity Occlusive Arterial Disease

Vascular Medicine and Endovascular Interventions ◽

10.1002/9780470692356.ch28 ◽

2008 ◽

pp. 277-284

Author(s):

Daniel G. Clair

Keyword(s):

Lower Extremity ◽

Endovascular Treatment ◽

Arterial Disease ◽

Occlusive Arterial Disease

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Modified one-session endovascular treatment for deep venous thrombosis with high risk of pulmonary embolism: Short-term outcomes

Phlebology The Journal of Venous Disease ◽

10.1177/0268355520904270 ◽

2020 ◽

Vol 35 (7) ◽

pp. 524-532

Author(s):

Wei Li ◽

Yu Yin ◽

Chengtao Gu ◽

Baorui Fan ◽

Pengfei Duan ◽

...

Keyword(s):

Inferior Vena Cava ◽

Lower Extremity ◽

Endovascular Treatment ◽

Inferior Vena Cava Filter ◽

Inferior Vena ◽

Vena Cava ◽

Iliac Vein ◽

Vena Cava Filter ◽

Filter Placement ◽

One Stage

Objectives To evaluate the safety and short-term outcomes of the modified one-session endovascular treatment with inferior vena cava filter placement and retrieval in one stage for the treatment of acute lower extremity deep vein thrombosis. Method Twenty-three patients with unilateral acute lower extremity deep vein thrombosis underwent modified one-session endovascular treatments, which were performed in one stage. Inferior vena cava filter placement without detachment, thrombectomy, and inferior vena cava filter retrieval were performed in one stage. Angioplasty and stent implantation were performed for patients with iliac vein stenosis. Venography was performed to identify the clearance of the thrombus. Color Doppler ultrasound and/or venography were conducted during the follow-up. Results A total of 20/23 (87%) patients with thrombus removal rate >90% successfully underwent modified one-session endovascular treatment. inferior vena cava filters were detached in 3/23 (13%) patients achieving 50%–90% thrombus removal rate. Twenty-one iliac vein stents were implanted in 21/23 (91%) patients with iliac vein stenosis. After treatment, the differences in the circumferences of the affected limb and the healthy limb both significantly decreased. No procedure-related death, symptomatic pulmonary embolism, or major bleeding occurred. During the 12–25 months of follow-up, iliac vein stents and lower extremity veins maintained patent. Conclusions The modified one-session endovascular treatment with one-stage inferior vena cava filter placement and retrieval might be safe for the treatment of acute lower extremity deep vein thrombosis, and the early clinical outcomes are satisfactory. Placing and retrieving an inferior vena cava filter in one session could safeguard the endovascular interventions as well as reduce the filter-related complications associated with long dwelling times.

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Single-session endovascular treatment for symptomatic lower extremity deep vein thrombosis: a feasibility study

Acta Radiologica ◽

10.3109/02841850903536078 ◽

2010 ◽

Vol 51 (3) ◽

pp. 248-255 ◽

Cited By ~ 14

Author(s):

Byung Joon Kim ◽

Hwan Hoon Chung ◽

Seung Hwa Lee ◽

Bo Kyung Je ◽

Young Heon Lee ◽

...

Keyword(s):

Deep Vein Thrombosis ◽

Lower Extremity ◽

Endovascular Treatment ◽

Stent Placement ◽

Thrombolytic Agent ◽

Clinical Success ◽

Single Session ◽

Vein Thrombosis ◽

Catheter Directed Thrombolysis ◽

Deep Vein

Background: The risk of complications and discomfort in patients who undergo prolonged infusion of a thrombolytic agent is significant when conventional catheter-directed thrombolysis is used to treat lower extremity deep vein thrombosis (DVT). Purpose: To evaluate the feasibility and safety of single-session endovascular treatment for symptomatic lower extremity DVT. Material and Methods: Single-session endovascular treatment for lower extremity DVT was performed on 29 limbs in 26 patients diagnosed with acute DVT in our institution. Nine patients were male and 17 female, with a mean age of 64 years (range 28–82 years). At 5–10 min after the locoregional injection of the thrombolytic agent (urokinase) via a 5-Fr catheter to soften the thrombus, aspiration thrombectomy was performed with a large-bore sheath. In patients with an underlying anatomical stenosis or obstruction, combined angioplasty with or without stent placement was performed immediately after the complete removal of the thrombus. We then evaluated the technical and clinical outcomes of the procedure, along with any complications or recurrences of DVT. Results: Technical success was achieved in 24 procedures (82.8%) of single-session endovascular treatment for lower extremity DVT, and clinical success was achieved in 22 (75.9%) of these single-session procedures. Additional catheter-directed thrombolysis procedures were performed on five limbs after repeated aspiration thrombectomies failed to completely remove thrombi in those limbs. Stenotic or occlusive lesions were revealed in 24 limbs and percutaneous angioplasty procedures with or without stent placement were performed in these cases. No major complications resulted from the procedure. Conclusion: Single-session endovascular treatment is a feasible technique that provides acceptable technical and clinical success with excellent safety for treating symptomatic lower extremity DVT.

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