A Systematic Review of Percutaneous Mechanical Thrombectomy in the Treatment of Deep Venous Thrombosis

Karthikesalingam, Alan; Young, Emily; Hinchliffe, Robert J.; Loftus, Ian; Thompson, Matt; Holt, Peter

doi:10.1016/j.ejvs.2011.01.010

Cited by 119 publications

(40 citation statements)

References 55 publications

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“…The thrombus resolution rates obtained in the present study were similar to those in the literature (8,9). This study indicates that the PMT procedure (with a rotational PMT device) can be used in patients with symptomatic acute and subacute DVT to ensure safe and effective lysis.…”

Section: Discussionsupporting

confidence: 79%

Pharmacomechanical Thrombolytic Treatment in Symptomatic Acute and Subacute Deep Vein Thrombosis

et al. 2016

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Background: In this study, we shared the implementation success and clinical results for 38 patients treated with the cleaner™ pharmacomechanical thrombectomy device. Objectives: The impact and results of pharmacomechanical thrombectomy treatment on patients with deep vein thrombosis in the symptomatic acute and subacute phases were assessed. Patients and Methods: Pharmacomechanical thrombectomy treatment was applied in a single session for 38 patients with lower extremity deep vein thrombosis in the acute and subacute phases between May 2012 and June 2014. Venography was performed and each assessment was made based on lysis rates and clinical results. Results: Deep vein thrombosis was found in the left lower extremity in 25 patients (65%) and in the right lower extremity in 13 patients (35%). No patient was found to have bilateral deep vein thrombosis. Thrombus localization was in the iliofemoral area in 17 patients (44%), the iliocaval area in three patients (8%), and the femoropopliteal area in 18 patients (56%). When thrombus resolution was assessed at the end of the process, grade III and grade II lysis was achieved in 36 (94%) out of 38 patients. Complete resolution was achieved in 28 patients (74%) in the acute and subacute groups. Conclusion: Pharmacomechanical thrombectomy provides very satisfactory results in a single procedure, as a new method in the treatment of acute and subacute deep vein thrombosis.

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Section: Discussionsupporting

confidence: 79%

Pharmacomechanical Thrombolytic Treatment in Symptomatic Acute and Subacute Deep Vein Thrombosis

et al. 2016

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“…A módszerek között egy lényeges különbség van, ez pedig az intervenció időtartama. Addig, amíg például a thrombuseltávolítás az AngioJet rheolyticus percutan mechanikus thrombectomiával vagy a Trellis-féle rotációs percutan mechanikus thrombectomiával akár egy óra alatt is elvégezhető, addig az ultrahangos percutan mechanikus thrombectomia vagy a katéteres thrombolysis órákig vagy akár napokig is eltarthat [11].…”

Section: áBraunclassified

Masszív pulmonalis embolia és thromboemboliás kórképek intervenciós radiológiai kezelése

2015

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A szerzők a vascularis intervenciós radiológiának a vénás rendszer betegségeiben alkalmazott intervenciós radiológiai módszereit mutatják be. A vénás betegségek kezeletlenül vagy nem megfelelő módon kezelve a beteg életét veszé-lyeztetik és krónikus megbetegedések, vénás elégtelenség kialakulásához vezethetnek, ami a betegek számára tartós életminőség-romlást és visszatérő kezelést igénylő klinikai panaszokat okoz. Az intervenciós radiológia számos mód-szerrel rendelkezik, amely időben alkalmazva gyors és teljes gyógyulást eredményezhet. A szerzők ezeket a módsze-reket foglalják össze, remélve, hogy az intervenciós radiológiai centrumok létrehozásával a módszerek széles tömegek számára hozzáférhetővé válnak és beilleszkednek a napi rutin-betegellátásba. A vénás betegségek gyakorisága és az életminőséget jelentősen befolyásoló hatása miatt a szerzők szeretnék az érdeklődést felkelteni az intervenciós radiológiai módszerek iránt és a fi gyelmet ráirányítani a modern terápiás lehetőségekre. Orv. Hetil., 2015, 156(17), 674-679.Kulcsszavak: mélyvénás thrombosis, thrombolysis, szelektív thrombolysis, vénás stentelés, pulmonalis embolia, mechanikus thrombusdarabolás Interventional radiological treatment of extensive pulmonary embolism and thromboembolic diseasesThe authors discuss interventional radiological methods in the fi eld of vascular interventions applied in venous system diseases. Venous diseases can be lifethreatening without appropriate treatment and can lead to chronic venous diseases and venous insuffi ciency which result in long lasting life quality destruction. In addition, recurrent clinical symptoms are require additional treatments. Interventional radiology has several methods that can provide fast and complete recovery if applied in time. The authors summarize these methods hoping that they will be available for a wide range of patients through the establishment of Interventional Radiological Centres and will be a part of the daily routine of patient care. Regarding the frequency of venous diseases and its infl uance on life quality the authors would like to draw attention to interventional radiological techniques and modern therapeutic possibilities.Keywords: deep vein thrombosis, thrombolysis, selective thrombolysis, venous stenting, pulmonary embolism, mechanical thrombus fragmentation Battyáni, I., Dósa, E., Harmat Z. [Interventional radiological treatment of extensive pulmonary embolism and thromboembolic diseases]. Orv. Hetil., 2015, 156(17), 674-679. (Beérkezett: 2015 elfogadva: 2015. február 21.) Rövidítések CTPA = komputertomográfi ás pulmonalis angiográfi a; EKOS = ultrahangos percutan mechanikus thrombectomia; IU = nemzetközi egység; MRI = mágneses rezonanciás vizsgá-lat; PE = pulmonalis embolia; PTD = percutan thrombectomiás eszköz; PTX = pneumothorax; r-tPA = rekombináns szöveti plazminogén aktivátor; sc. = subcutan; SK = sztreptokináz; SP54 = sodium pentosanpolysulfate; TIPS = transjugularis intrahepaticus portoszisztémás sönt; UK = urokináz

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“…Geç dönemde ise hastaların %10'unda posttrombotik sendroma bağlı oluşan kapak hasarı ve intravasküler skarlar sonucu venöz yetmezlik ve venöz staz ülseri gelişebilmektedir (2). Fakat her girişimsel işlemde olduğu gibi istenmeyen, ön görülemeyen ve bazen ciddi olabilen komplikasyonlar da ortaya çıkabilmektedir (9). Bizim uyguladığımız farmakomekanik rotasyonel trombektomi işlemi sırasında rotasyonel kataterin gönderildiği 28 cm lik guide sistemden koparak işlem esnasında vena cava iliyak bifurkasyon ile sağ internal juguler ven arasında kaldığı tespit edildi.…”

Section: Introductionunclassified

Farmakomekanik Rotasyonel Trombektomi Sirasinda Hastada Kirilan Guide Parçasinin Subclaviyan Yolla Çikartilmasi

Güven

2016

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi

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ÖZETVakamızda akut ve subakut iliofemoral derin ven trombozu nedeniyle endovenöz yolla rekombinant insan doku tipi plazminojen aktivatörü eşliğinde Rotarex rotasyonel trombektomi kateteri ile farmakomekanik trombektomi uyguladığımız bir hastada kopan guide parçasının sol ana iliyak ven ile sağ internal juguler ven arasında olduğu tespit edilmesi üzerine subclaviyan yol ile başarılı bir şekilde çıkartılması nedeniyle sunulmaya değer bulunmuştur.

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A Systematic Review of Percutaneous Mechanical Thrombectomy in the Treatment of Deep Venous Thrombosis

Cited by 119 publications

References 55 publications

Pharmacomechanical Thrombolytic Treatment in Symptomatic Acute and Subacute Deep Vein Thrombosis

Pharmacomechanical Thrombolytic Treatment in Symptomatic Acute and Subacute Deep Vein Thrombosis

Masszív pulmonalis embolia és thromboemboliás kórképek intervenciós radiológiai kezelése

Farmakomekanik Rotasyonel Trombektomi Sirasinda Hastada Kirilan Guide Parçasinin Subclaviyan Yolla Çikartilmasi

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