Abstract | PURPOSE: MATERIALS AND METHODS: The authors retrospectively reviewed the records of 74 patients (mean age 61 +/- 15) that underwent a catheter-directed thrombolysis with conventional aspiration thrombectomy. A retrieval inferior vena cava (IVC) filter was placed to protect against a pulmonary embolism in 60 patients (81%). Stenting and balloon angioplasty were performed in 37 patients (50%) under the left common iliac vein compression. RESULTS: Sixty-seven patients (91%) showed a clinical improvement within 48 hours, but seven patients (9%) showed no improvement. Multi detector computerized tomographic venography (MDCT venography) at discharge showed no thrombus in 15 patients (20%) and partial thrombus in 52 (70%). Twenty-eight patients (38%) developed post-thrombotic syndrome at 3.0 +/- 4.2 months postoperatively. Six patients (8%) were admitted due to DVT recurrence at a mean of 5.6 +/- 7.4 months postoperatively. Sixty-nine patients underwent follow up MDCT venography at 5.7 +/- 5.6 months. fifty (72%) of these showed no thrombus, 15 (22%) partial thrombus, and 4 (6%) showed obstruction. Twenty-eight of 61 (46%) were asymptomatic, twenty-eight (46%) had moderate improvement, and four (6%) were mildly improved by a telephone interview (81%) at 22.8 +/- 10.7 months postoperatively. CONCLUSION:
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Authors | Yong Sun Jeon, Yong Han Yoon, Joung Ym Cho, Wan Ki Baek, Kwang Ho Kim, Kee Chun Hong, Joung Taek Kim |
Journal | Yonsei medical journal
(Yonsei Med J)
Vol. 51
Issue 2
Pg. 197-201
(Mar 2010)
ISSN: 1976-2437 [Electronic] Korea (South) |
PMID | 20191009
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Aged
- Catheterization
- Female
- Humans
- Male
- Middle Aged
- Thrombectomy
(methods)
- Thrombolytic Therapy
(methods)
- Venous Thrombosis
(therapy)
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