scholarly journals Endovascular management of symptomatic Deep Vein Thrombosis (DVT) with Combined Approach

2021 ◽  
Author(s):  
Vito Gallicchio ◽  
Danilo Barbarisi ◽  
Rosaria SCIARRILLO ◽  
Loris Flora
Keyword(s):  
Leg Pain ◽  
Combined Approach ◽  
Endovascular Management ◽  
Endovascular Techniques ◽  
Venous Outflow ◽  
Skin Changes ◽  
Symptomatic Deep Vein Thrombosis ◽  
Vein Thrombosis ◽  
Deep Vein ◽  
Venous Claudication

The primary goal of this treatment is the restoration of venous outflow and can be achieved by combined endovascular techniques. We report a case of 38 years-old female, with leg pain and edema, skin changes, venous claudication and dyspnea for polmunary embolism.

scholarly journals Endovascular management of symptomatic deep vein thrombosis with combined approach

2021 ◽  
Vol 9 (9) ◽  
Author(s):  
Vito Gallicchio ◽  
Danilo Barbarisi ◽  
Rosaria Sciarrillo ◽  
Loris Flora
Keyword(s):  
Deep Vein Thrombosis ◽  
Combined Approach ◽  
Endovascular Management ◽  
Symptomatic Deep Vein Thrombosis ◽  
Vein Thrombosis ◽  
Deep Vein

Retroperitoneal Laparoscopic-Assisted Retrieval of Wall-Penetrating Inferior Vena Cava Filter After Endovascular Techniques Failed: An Initial Clinical Outcome

2021 ◽  
pp. 153857442110225
Author(s):  
Haidong Wang ◽  
Zhenhua Liu ◽  
Xiaofei Zhu ◽  
Jianlong Liu ◽  
Libo Man
Keyword(s):  
Deep Vein Thrombosis ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Ivc Filter ◽  
Endovascular Techniques ◽  
Vein Thrombosis ◽  
Ivc Filters ◽  
Laparoscopic Assisted ◽  
Deep Vein

Background: Inferior vena cava (IVC) filters are commonly used in China to prevent pulmonary embolisms in patients with deep vein thrombosis. However, IVC filter removal is complicated when the filter has penetrated the IVC wall and endovascular techniques usually fail. The purpose of this study was to evaluate the effectiveness and safety of retroperitoneal laparoscopic-assisted retrieval of wall-penetrating IVC filters after endovascular techniques have failed. Patients and Methods: We retrospectively evaluated a series of 8 patients who underwent retroperitoneal laparoscopic-assisted retrieval of a wall-penetrating IVC filter between December 2017 and November 2019. All patients had experienced at least 1 failure with endovascular retrieval before the study. The filters were slanted and the proximal retrieval hooks penetrated the posterior lateral IVC wall in all patients on computed tomography. Demographic information, operation parameters, and complications were recorded and analyzed. All patients were followed up for at least 12 months. Results: The procedure was successful in all patients. The median surgery time was 53.6 ± 12.7 min and the average blood loss was 45.0 ± 13.5 ml. No serious complication occurred during the patients’ hospitalization, which was an average of 6.4 days. The median follow-up time was 15.1 months, and no patient had deep vein thrombosis recurrence. Conclusions: Retroperitoneal laparoscopic-assisted retrieval is a feasible and effective technique, particularly when proximal retrieval hooks penetrate the posterior lateral wall of the IVC after endovascular techniques have failed. To some extent, the development of this technique at our institution has increased the success rate of filter removal and improved patient satisfaction.

scholarly journals Improvement of Medical Treatment Options of Proximal Deep Vein Thrombosis of Low Extremities Associated with Phlegmasia Alba Dolens

2021 ◽  
Vol 14 (3) ◽  
pp. 193-198
Author(s):  
Boris Sukovatykh ◽  
Aleksey Viktorovich Sereditsky ◽  
Andrey Mikhailovich Azarov ◽  
Vadim Feliksovich Muradyan ◽  
Mikhail Borisovich Sukovatykh ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Conservative Treatment ◽  
Treatment Options ◽  
Proximal Deep Vein Thrombosis ◽  
Venous Outflow ◽  
Partial Restoration ◽  
Vein Thrombosis ◽  
Phlegmasia Alba ◽  
Anti Inflammatory ◽  
Deep Vein

The aim of the study was to improve the conservative treatment options for proximal deep vein thrombosis of low extremities associated with phlegmasia alba dolens optimization of anticoagulant therapy and paravascular injection of the anti-inflammatory medical mixture in areas of the most intense inflammatory process.Materials and methods. The results of treatment of two statistically homogeneous groups of patients with proximal deep vein thrombosis of the lower extremities associated with white phlegmasia were compared. In the first group (n = 30), standard conservative treatment was carried out using rivaroxaban as an anticoagulant; in the second group (n = 30), initial heparin therapy was first performed and, additionally, the following mixture was administered in the places of the greatest severity of inflammatory process under ultrasound control: dexamethasone 16 mg, heparin 5 thousand units, 0.25% novocaine solution 20.0 ml. During treatment the incidence of hemorrhagic syndrome was recorded. The results were assessed after one year according to the degree of deep vein lumen restoration and the severity of venous outflow impairment according to the Villalta scale. Results. In patients of both groups, every tenth patient developed some minor manifestations of hemorrhagic syndrome during treatment with rivaroxaban that was corrected by a decrease in the dose of anticoagulant.Complete restoration of the lumen of the veins occurred in 20.0%, patients of the first group and in 40.0%, patients of the second group; partial, in 63.3% and 56.7% of patients, respectively, minimal - in 16.7% and 3.3% of patients, respectively.In the first group, clinical disorders of venous outflow were absent in 20.0% of patients, a weak degree of severity was registered in 23.3%, an average - in 40.0%, and a strong one in 16.7% of patients, and in the second group, in 40 %, 26.7%, 30% and 3.3% of patients, respectively.Different minor hemorrhagic complications after Rivaroxaban intake occurred equally in both groups in each of ten patients. These complications were treated by the reduction of the anticoagulants dose.Complete restoration of the vein lumen occurred in the first group in 20.0%, and in the second group in 40.0% of patients, partial restoration, in 63.3% and 56.7% of patients, minimal - in 16.7% and 3.3% of patients respectively.In patients of the first group clinical venous congestion was absent in 20,0% of patients, mild congestion was manifested in 23,3% of patients, moderate - in 40,0% of patients, and severe was in 16,7% of cases. In the second group, the obtained data was 40%, 26,7%, 30%, and 3,3% of patients, respectively. Conclusion. Starting therapy with heparin and paravascular injection of anti-inflammatory mixture helps improve treatment outcomes.

Objective Diagnosis Of Recurrent Deep Vein Thrombosis

1981 ◽  
Author(s):  
R W Barnes ◽  
D G Turley ◽  
G D Qureshi ◽  
M J Fratkin
Keyword(s):  
Deep Vein Thrombosis ◽  
Venous Insufficiency ◽  
Leg Pain ◽  
Venous Obstruction ◽  
Vein Thrombosis ◽  
Postphlebitic Syndrome ◽  
Positive Scan ◽  
Recurrent Deep Vein Thrombosis ◽  
Diagnostic Sensitivity And Specificity ◽  
Deep Vein

Recurrent deep vein thrarbosis must be differentiated from other causes of leg pain, swelling and inflammation, including chronic venous insufficiency or the postphlebitic stasis syndrome. Venous obstruction and/or valvular incompetence was evaluated by Dcppler ultrasound in 229 patients with recurrent leg symptoms following one or more prior episodes of clinical deep vein thrombosis. The diagnostic sensitivity and specificity of the Dcppler technique was 96% and 90%, respectively, in 259 consecutive contrast phlebograms. In a subset of 65 patients with abnormal Dcppler examination, I-125 fibrinogen leg scans were performed prior to institution of anticoagulants in order to establish the diagnosis of recurrent active thrarbosis (positive scan) or inactive postphlebitic disease (negative sca.In the 229 symptomatic patients screened, the Dcppler examination was normal in 87 (38.0%). In 65 patients with abnormal deep veins receiving I-125 fibrinogen, leg scans were positive in 25 (38.5%), suggesting active thrarbosis which was treated by anticoagulants. The remaining 40 patients were treated for the postphlebitic syndrome with leg elevation and elastic support and none developed manife stations of venous thrarboerrbolism.This study suggests that many individuals (38%) with suspected recurrent deep vein thrarbosis have normal leg veins and that the majority (62%) of patients with proven venous abnormalities have inactive (postphlebitic) disease which does not require anti coagulation.

scholarly journals Symptomatic Deep Vein Thrombosis Following Elective Knee Arthroscopy Over the Age of 40

2019 ◽  
Vol 25 ◽  
pp. 107602961985216 ◽  
Author(s):  
Mert Özcan ◽  
Murat Erem ◽  
Fatma Nesrin Turan
Keyword(s):  
Risk Factors ◽  
Deep Vein Thrombosis ◽  
Medical History ◽  
Symptomatic Deep Vein Thrombosis ◽  
Vein Thrombosis ◽  
Contraceptive Usage ◽  
Venous Thromboembolic Events ◽  
History Of ◽  
Deep Vein ◽  
Previous Medical History

Thromboprophylaxis following arthroscopic knee surgery (AKS) is not clear in the literature. The purpose of this study was to present the incidence of symptomatic deep vein thrombosis (DVT) following elective AKS over the age of 40. The secondary purpose was to investigate risk factors associated with venous thromboembolic events (VTEs). Surgical database and outpatient clinic follow-up charts of the patients who underwent AKS for any reason were included in the study. Odds for risk factors such as previous medical history of thrombosis, any family history for clotting disorders, diabetes mellitus (DM), oral contraceptive usage, body mass index, history of malignancy, and smoking were evaluated. The incidence of DVT following AKS significantly increased in the patients older than 40 years who had a previous medical history of VTE, DM, and smoking. A variety of guidelines exist for VTE prophylaxis; however, one should focus on risk factors related to the patient’s medical history and current medical conditions. In this study, smoking, DM, and previous history of DVT increased DVT risk significantly, and thromboprophylaxis should be kept in mind for these patients.

scholarly journals Deep vein thrombosis in children

2013 ◽  
Vol 5 (2) ◽  
pp. 12 ◽  
Author(s):  
Kanakkande Aabideen ◽  
Michael Ogendele ◽  
Ijaz Ahmad ◽  
Laweh Amegavie
Keyword(s):  
Differential Diagnosis ◽  
Deep Vein Thrombosis ◽  
Early Diagnosis ◽  
Rare Disease ◽  
Rare Case ◽  
Differential Diagnoses ◽  
Leg Pain ◽  
Vein Thrombosis ◽  
Deep Vein

We describe a rare case of deep vein thrombosis (DVT) in children, highlight the importance of early diagnosis of rare disease with potential complications. In a 5 year old boy presented with persistent leg pain without any obvious cause. Detailed investigation led to diagnosis of DVT. As there are common differential diagnoses for leg pain in children, pediatricians usually have a low index of suspicious of DVT in children. This case highlight that paediatricians must consider DVT in their differential diagnosis when children present with leg pain.

Deep venous thrombosis and postthrombotic syndrome: Invasive management

2015 ◽  
Vol 30 (1_suppl) ◽  
pp. 59-66 ◽  
Author(s):  
AJ Comerota
Keyword(s):  
Deep Vein Thrombosis ◽  
Vena Cava ◽  
Venous Drainage ◽  
Percutaneous Treatment ◽  
Postthrombotic Syndrome ◽  
Venous Outflow ◽  
Vein Thrombosis ◽  
Valvular Function ◽  
Deep Vein ◽  
Invasive Management

Invasive management of postthrombotic syndrome encompasses the two ends of the deep vein thrombosis spectrum, patients with acute iliofemoral deep vein thrombosis and those with chronic postthrombotic iliofemoral venous obstruction. Of all patients with acute deep vein thrombosis, those with involvement of the iliofemoral segments have the most severe chronic postthrombotic morbidity. Catheter-based techniques now permit percutaneous treatment to eliminate thrombus, restore patency, potentially maintain valvular function, and improve quality of life. Randomized trial data support an initial treatment strategy of thrombus removal. Failure to eliminate acute thrombus from the iliofemoral system leads to chronic postthrombotic obstruction of venous outflow. Debilitating chronic postthrombotic symptoms of the long-standing obstruction of venous outflow can be reduced by restoring unobstructed venous drainage from the profunda femoris vein to the vena cava.

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