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Vascular ; 24(5): 481-6, 2016 Oct.
Article in English | MEDLINE | ID: mdl-26490390

ABSTRACT

OBJECTIVE: Deep venous thrombosis (DVT) is a life-threatening and morbid pathology. This study aimed to investigate the efficacy of an early thrombolysis procedure using a rotator thrombolysis device. METHODS: Sixty-seven patients with acute proximal DVT were enrolled in the study. Patients' data were recorded retrospectively. Initially, an infrarenal retrievable vena cava filter was placed through the femoral vein. Then, a rotator thrombolysis device and a thrombolytic agent injection were applied to the occluded segments of the deep veins by puncturing the popliteal vein. RESULTS: The identified reasons were trauma (43.3%), pregnancy (20.9%), undiagnosed (11.9%), major surgical operation (10.5%), immobilization (7.5%), and malignancy (5.9%). Immediate total recanalization was conducted in all patients, and the leg diameters returned to normal ranges in the early postoperative period. Hospital mortality or severe complications were not detected. CONCLUSION: New thrombolytic devices seem to reduce in-hospital mortality risks and may potentially decrease post-thrombotic morbidity.


Subject(s)
Femoral Vein , Fibrinolytic Agents/administration & dosage , Iliac Vein , Thrombolytic Therapy/instrumentation , Venous Thrombosis/drug therapy , Adult , Cross-Sectional Studies , Equipment Design , Female , Femoral Vein/diagnostic imaging , Hospital Mortality , Humans , Iliac Vein/diagnostic imaging , Injections, Intravenous , Male , Middle Aged , Phlebography , Popliteal Vein , Punctures , Retrospective Studies , Risk Factors , Thrombolytic Therapy/adverse effects , Thrombolytic Therapy/mortality , Time Factors , Treatment Outcome , Vena Cava Filters , Venous Thrombosis/diagnostic imaging , Venous Thrombosis/etiology , Venous Thrombosis/mortality , Young Adult
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