scholarly journals Preliminary results of pharmacomechanical thrombectomy for iliofemoral deep venous thrombosis: A single center experience

2018 ◽  
Vol 7 (3) ◽  
Author(s):  
Mihriban Yalcin ◽  
Eda Godekmerdan Katırcıoglu ◽  
Kamuran Erkoc ◽  
Osman Tiryakioglu

Our aim is to explain follow-up in patients treated with pharmacomechanical thrombectomy (PMT) followed by balloon angioplasty for lower extremity deep venous thrombosis (DVT). A total of 19 patients who underwent PMT for DVT were included in the study. The patients underwent PMT with the Cleaner device after insertion of vena cava filters. The mean age was 45 years (range 20-56). The lesions were on the right side in nine patients and on the left side in 10 patients. Complete thrombus removal was achieved in 14 patients and the remaining five patients underwent balloon angioplasty and stenting to achieve significant patency. In conclusion, our single-center experience with short-term results suggests that PMT with the Cleaner device can be used to successfully manage acute and sub acute DVT.

2019 ◽  
Vol 2019 (6) ◽  
Author(s):  
Thomas Osborne ◽  
Frances Sheehan

Abstract Deep venous thrombosis (DVT) is a commonly encountered diagnosis in clinical practice with a variety of well-established risk factors. Congenital absence of the inferior vena cava (IVC) is an extremely rare but established risk factor for DVT. Patients who develop DVTs are at high risk of long-term complications, including DVT recurrence and post-thrombotic syndrome. Here we report a rare case of a 27-year-old female who presented with an extensive DVT of the right lower extremity secondary to complete absence of the infrarenal portion of the IVC, confirmed on computed tomography. There is little consensus regarding the appropriate management of this patient population, and a brief review of the current evidence follows.


2010 ◽  
Vol 24 (4) ◽  
pp. 480-486 ◽  
Author(s):  
Munier Nazzal ◽  
Edwin Chan ◽  
Mustafa Nazzal ◽  
Jihad Abbas ◽  
Grant Erikson ◽  
...  

2017 ◽  
Vol 28 (6) ◽  
pp. 889-894 ◽  
Author(s):  
Raghuram Posham ◽  
Aaron M. Fischman ◽  
Francis S. Nowakowski ◽  
Vivian L. Bishay ◽  
Derek M. Biederman ◽  
...  

Vascular ◽  
2006 ◽  
Vol 14 (5) ◽  
pp. 305-312 ◽  
Author(s):  
Hosam F. El Sayed ◽  
Panos Kougias ◽  
Wei Zhou ◽  
Peter H. Lin

Endovascular interventions of symptomatic deep venous thrombosis (DVT) using various therapeutic modalities, such as thrombolysis, mechanical thrombectomy, and inferior vena cava (IVC) filter placement, have received increased focus owing in part to advances in catheter-based interventional technologies. Although systemic anticoagulation remains the primary treatment modality in DVT, catheter-based interventions can provide rapid removal of large thrombus burden and possibly preserve venous valvular function in patients with symptomatic DVT. This article reviews current endovascular treatment strategies for acute DVT. Specifically, the utility of mechanical thrombectomy along with various temporary IVC filters in the setting of DVT is examined. Lastly, an illustrative case of acute DVT that was treated with endovascular intervention with IVC filter placement is presented.


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