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01.12.2015 | Original basic research | Ausgabe 1/2015 Open Access

Thrombosis Journal 1/2015

Original approach for thrombolytic therapy in patients with Ilio-femoral deep vein thrombosis : 2 years follow-up

Zeitschrift:
Thrombosis Journal > Ausgabe 1/2015
Autoren:
Leslie Fiengo, Federico Bucci, Elias Khalil, Bruno Salvati
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contribution

LF carried the research project, drafted manuscript. BS participate in the design of the study and approved final manuscript. EK did the references research, and the design of the study. FB helped for the draf t of the article and the coordination of the study. All authors read and approved the final manuscript.

Abstract

Objective

The aim of the study was to discuss the results of catheter-directed thrombolysis and complementary procedures to treat acute iliofemoral deep vein thrombosis (DVT) evaluating the safety and effectivness of an easy access such as the Great Saphenous Vein.

Methods and materials

A total of 22 consecutive patients with iliofemoral thrombosis and two patients with femoro-popliteal thrombosis on recent onset diagnosed with Ultrasound Doppler and contrast venography underwent intrathrombus drip infusion of urokinase while intravenous heparin was continued using saphenical access. Residual venous stenosis were treated in six patients by percutaneous balloon Angioplasty and stenting. All patients underwent routine venous duplex imaging at 30 days, 3 months, 6 months and every 6 months thereafter.

Results

Complete patency of thrombosed veins was restored in 22 patients (91 %) with prompt symptomatic relief. There were no major complications in the immediate outcomes. At follow-up, two patients reported a persistant slim iliac vein stenosis, two patients had post-thrombotic syndrome, and two patients showed Deep Vein Reflux.

Conclusion

Local thrombolysis using saphenical access was a safe and effective approach for the treatment of acute iliofemoral deep vein thrombosis. It seems to be a valid, easy and safe alternative, reducing the risks of haematoma and venous lesions, which can be observed when using femoral, popliteal, and trans-jugular access.
Literatur
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