Minimally invasive treatment of acute deep venous thrombosis in lower extremities caused by mili-tary training
10.3760/cma.j.issn.1001-8050.2009.07.203
- VernacularTitle:军训致急性下肢深静脉血栓的微创治疗
- Author:
Tanghai ZHAO
;
Yongshan YU
;
Haibo WANG
;
Yuanfeng XIE
;
Jie ZHANG
;
Liyuan QU
- Publication Type:Journal Article
- Keywords:
Military medicine;
Venous thrombosis;
Ultrasonography,interventional;
Catheter ablation
- From:
Chinese Journal of Trauma
2009;25(7):627-629
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of combined multiple interventional methods in treatment of acute deep venous thrombi (DVT) in lower extremities caused by military training. Meth-ods All 25 patients with DVT were treated with embolectomy by using Fogarty catheter. Of all, three pa-tients were treated only with embolectomy, six underwent embolectomy plus percutaneous transluminal an-gioplasty (PTA), 11 received PTA plus ultrasound ablation and five were implanted with stent-grafts. The clinical results were analyzed retrospectively. Results Based on angiography during operation, the ob-structed iliofemoral vein received complete recanalization in 24 patients, with the perioperative luminal di-ameter ≥71%. Partial recanalization of the entrance of common iliac vein to inferior vena cava was failed in one patient. All 25 patients were followed up for an average 34 months after operation, which showed that 24 patients received satisfactory results with normal military training and that the other one with failed recanalization of vena iliaca still felt swelling pain in lower extremity after training. Conclusion Com-bined multiple interventional methods can remarkably improve the therapeutic effect for DVT caused by military training.
