Journal of Shanghai Jiao Tong University (Medical Science) >

2019 , Vol. 39 >Issue 1: 102

DOI: https://doi.org/10.3969/j.issn.1674-8115.2019.01.020

Translational medicine

Percutaneous mechanical thrombectomy combined with catheter-directed thrombolysis in the treatment of deep venous thrombosis of lower extremity via contralateral femoral vein approach

  • LU Hua-xiang ,
  • HUANG Jia-qi ,
  • HUANG Sheng ,
  • YANG Guang-lin ,
  • LIU Xiao-bing ,
  • LIU Guang
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  • Department of Vascular Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine; The Vascular Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China

Online published: 2019-02-27

Supported by

National Natural Science Foundation of China, 81700432

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Abstract

Objective · To analyze the early clinical effects of acute deep venous thrombosis (DVT) of the lower extremities through a contralateral femoral vein approachpercutaneous mechanical thrombectomy (PMT) combined with catheter-directed thrombolysis (CDT) therapy. Methods · A retrospective analysis about 45 patients (September 2016 to August 2017) was conducted to analyze the success rate of the technique, the degree of thrombolysis in different venous segments, and the incidence of complications during the treatment of PMT+CDT. Results · Technique successful rate was 100%. 86.7% of lower extremity thrombosis (LET) Ⅰ segments (calf veins), 82.2% of LET Ⅱ segments (femoral and popliteal veins) and 71.1% of LET Ⅲ segments (common iliac and femoral veins) were completely dissolved. No serious complications occurred. Conclusion · It is feasible, safe and effective to PMT+CDT in acute DVT.

Key words： deep venous thrombosis of lower extremity; percutaneous mechanical thrombectomy; catheter-directed thrombolysis

Cite this article

LU Hua-xiang , HUANG Jia-qi , HUANG Sheng , YANG Guang-lin , LIU Xiao-bing , LIU Guang . Percutaneous mechanical thrombectomy combined with catheter-directed thrombolysis in the treatment of deep venous thrombosis of lower extremity via contralateral femoral vein approach[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2019 , 39(1) : 102 . DOI: 10.3969/j.issn.1674-8115.2019.01.020

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