Ces radiol. 2023, 77(1):29-34 | DOI: 10.55095/CesRadiol2023/005

Pharmacomechanical thrombectomy in iliofemoral deep vein thrombosis - single-center retrospective analysisOriginal article

Jan Mašek1, Radovan Malý2, Ondřej Renc1, Vendelín Chovanec1, Miroslav Lojík1, Antonín Krajina1, Jan Raupach1
1 Radiologická klinika LF UK a FN, Hradec Králové
2 I. interní kardioangiologická klinika LF UK a FN, Hradec Králové

Purpose: Early thrombus removal techniques have been introduced to improve theeffectiveness of deep vein thrombosis (DVT) treatment. This paper evaluatesresults of pharmacomechanical thrombectomy (PMT) in patients with acuteiliofemoral (IF) DVT.

Methods: 20 patients (8 males and 12 females, age range 16-75 years) withacute IF DVT underwent PMT using the Angiojet device, in 70% in combinationwith catheter-directed thrombolysis (CDT). The patency of the recanalizedvenous segment was verified ultrasonographically before discharge andsubsequently at 3, 6, 12-month follow-up and annually thereafter. Obtaineddata were analyzed retrospectively.

Results: Recanalization was achieved in all patients, in 20% at primary PMT,in 80% after subsequent CDT and repeated interventions. A venous stent wasinserted in 40%. The median total amount of administered thrombolytic was 34mg. The median duration of endovascular treatment was 21 hours, and the mediantotal hospital stay was 6 days. A clinically relevant non-major bleedingcomplication occurred in 3 patients (15%). During follow-up 1 year after theprocedure, 100% patency of the recanalized venous segment was maintained.

Conclusion: In our study, we demonstrated high efficacy and safety of IF DVTtreatment with PMT. The patency of the recanalized venous segment waspreserved in all cases 1 year after the procedure.

Keywords: deep vein thrombosis, pharmaco-mechanical thrombectomy,post-thrombotic syndrome

Published: March 1, 2023  Show citation

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Mašek J, Malý R, Renc O, Chovanec V, Lojík M, Krajina A, Raupach J. Pharmacomechanical thrombectomy in iliofemoral deep vein thrombosis - single-center retrospective analysis. Ces radiol. 2023;77(1):29-34. doi: 10.55095/CesRadiol2023/005.
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