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Mechanical Thrombectomy in patients with deep venous thrombosis

To report our experience with mechanical thrombectomy in proximal deep vein thrombosis (DVT). Eighteen patients with a mean (+/- SD) age of 37.6 +/- 16.1 years who presented with DVT in the iliac and femoral vein (n = 3), inferior vena cava (n = 5), or inferior vena cava and iliac vein (n = 10), wer...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2001-01, Vol.24 (1), p.42-48
Main Authors: DELOMEZ, Maxence, BEREGI, Jean-Paul, WILLOTEAUX, Serge, BAUCHART, Jean-Jacques, D'OTHEE, Bertrand Janne, ASSEMAN, Philippe, PEREZ, Nessim, THERY, Claude
Format: Article
Language:English
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Summary:To report our experience with mechanical thrombectomy in proximal deep vein thrombosis (DVT). Eighteen patients with a mean (+/- SD) age of 37.6 +/- 16.1 years who presented with DVT in the iliac and femoral vein (n = 3), inferior vena cava (n = 5), or inferior vena cava and iliac vein (n = 10), were treated with the Amplatz Thrombectomy Device after insertion of a temporary caval filter. Successful recanalization was achieved in 15 of 18 patients (83%). Overall, the percentage of thrombus removed was 66 +/- 29%: 73 +/- 30% at caval level and 55 +/- 36% at iliofemoral level. Complementary interventions (seven patients) were balloon angioplasty (n = 2), angioplasty and stenting (n = 2), thrombo-aspiration alone (n = 1), thrombo-aspiration, balloon angioplasty, and permanent filter (n = 1), and permanent filter alone (n = 1). There was one in-hospital death. Follow-up was obtained at a mean of 29.6 months; three patients had died (two cancers, one myocardial infarction); 10 had no or minimal sequelae; one had post-phlebitic limb. Mechanical thrombectomy is a potential therapeutic option in patients presenting with proximal DVT.
ISSN:0174-1551
1432-086X
DOI:10.1007/s002700001658