Intermittent pneumatic compression of the foot and calf improves the outcome of catheter-directed thrombolysis using low-dose urokinase in patients with acute proximal venous thrombosis of the leg

Ogawa, Tomohiro; Hoshino, Shunichi; Midorikawa, Hirofumi; Sato, Kouichi

doi:10.1016/j.jvs.2005.07.041

Cited by 43 publications

(16 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also, too little data are available to guide recommendations regarding the use of adjuvants such as intermittent pneumatic compression. 106,107 Finally, the quality-of-life benefits and costeffectiveness of this therapy need to be more thoroughly evaluated. …”

Section: Discussionmentioning

confidence: 99%

Early thrombus removal strategies for acute deep venous thrombosis: Clinical Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum

Meissner

Gloviczki

Comerota³

et al. 2012

Journal of Vascular Surgery

371

260

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Early thrombus removal strategies for acute deep venous thrombosis: Clinical Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum

Meissner

Gloviczki

Comerota³

et al. 2012

Journal of Vascular Surgery

371

260

View full text Add to dashboard Cite

show abstract

“…Intermittent pneumatic compression devices were applied on both legs during catheter thrombolysis. 21 In patients randomized to USAT, high-frequency (2.2 MHz),…”

Section: Standardized Procedures Of Ultrasound-assisted and Conventionmentioning

confidence: 99%

Ultrasound-Assisted Versus Conventional Catheter-Directed Thrombolysis for Acute Iliofemoral Deep Vein Thrombosis

Engelberger

Spirk

Willenberg

et al. 2015

Circ: Cardiovascular Interventions

112

View full text Add to dashboard Cite

Background-For patients with acute iliofemoral deep vein thrombosis, it remains unclear whether the addition of intravascular high-frequency, low-power ultrasound energy facilitates the resolution of thrombosis during catheterdirected thrombolysis. Methods and Results-In a controlled clinical trial, 48 patients (mean age 50±21 years, 52% women) with acute iliofemoral deep vein thrombosis were randomized to receive ultrasound-assisted catheter-directed thrombolysis (N=24) or conventional catheter-directed thrombolysis (N=24). Thrombolysis regimen (20 mg r-tPA over 15 hours) was identical in all patients. The primary efficacy end point was the percentage of thrombus load reduction from baseline to 15 hours according to the length-adjusted thrombus score, obtained from standardized venograms and evaluated by a core laboratory blinded to group assignment. The percentage of thrombus load reduction was 55%±27% in the ultrasoundassisted catheter-directed thrombolysis group and 54%±27% in the conventional catheter-directed thrombolysis group (P=0.91). Adjunctive angioplasty and stenting was performed in 19 (80%) patients and in 20 (83%) patients, respectively (P>0.99). Treatment-related complications occurred in 3 (12%) and 2 (8%) patients, respectively (P>0.99). At 3-month follow-up, primary venous patency was 100% in the ultrasound-assisted catheter-directed thrombolysis group and 96% in the conventional catheter-directed thrombolysis group (P=0.33), and there was no difference in the severity of the post-thrombotic syndrome (mean Villalta score: 3.0±3.

show abstract

“…31) An inflatable pad empties the plantar venous plexus and imitates the natural pumping mechanism during ambulation. In patients with proximal venous occlusive disease and phlegmasia, it should be used with care not to overload the capacity of the venous collaterals of the limb.…”

Section: Retrievable Ivc-filtermentioning

confidence: 99%

Endovascular Treatment of Venous Occlusive Disease

Kölbel

Gottsäter

Kühme

et al. 2008

Annals of Vascular Diseases

View full text Add to dashboard Cite

Intermittent pneumatic compression of the foot and calf improves the outcome of catheter-directed thrombolysis using low-dose urokinase in patients with acute proximal venous thrombosis of the leg

Abstract: This pilot study showed that adding IPC to CDT using low-dose urokinase for DVT treatment of the leg resulted in better early and late outcomes compared with CDT alone and was not associated with an increased risk of symptomatic PEs.

Cited by 43 publications

References 12 publications

Early thrombus removal strategies for acute deep venous thrombosis: Clinical Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum

Early thrombus removal strategies for acute deep venous thrombosis: Clinical Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum

Ultrasound-Assisted Versus Conventional Catheter-Directed Thrombolysis for Acute Iliofemoral Deep Vein Thrombosis

Endovascular Treatment of Venous Occlusive Disease

Contact Info

Product

Resources

About