Multidisciplinary transluminal intervention for the treatment of acute deep venous thrombosis of the lower extremities
10.3760/cma.j.issn.1007-631X.2011.03.011
- VernacularTitle:取栓联合腔内血管成形术治疗急性下肢深静脉血栓形成
- Author:
Tanghai ZHAO
;
Haibo WANG
;
Mingjin GUO
;
Jie ZHANG
;
Wei WEI
;
Xiaojun PANG
;
Jiguang ZHAN
- Publication Type:Journal Article
- Keywords:
Venous thrombosis;
Angioplasty,balloon;
Catheter ablation
- From:
Chinese Journal of General Surgery
2011;26(3):205-207
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate a combination of open surgery and multiple interventional methods in the treatment of DVT of the lower extremities. Methods 521 cases (521 limbs,356 male and 165 female) were studied in this group. Age ranged from 16 to 86 years with the mean age of (46 ±9)years. All 521 cases with DVT were treated by Fogarty embolectomy catheter. Among them,348 cases underwent percutaneous transluminal angioplasty (PTA), 135 cases received PTA and ultrasound ablation,stent-grafts were implanted in 108 cases. Results Based on angiography during operation, the obstructed iliofemoral vein received complete recanalization in 511 cases. Among them, the postoperative luminal diameter was more than 90% in 38 cases after Fogarty embolectomy, the average stenosis rate was reduced from 90% ±5% to 24% ±5% in 365 cases after PTA and stent-grafts were implanted in 108 cases with the stenosis rate still over 50% after PTA. Only partial recanalization was achieved in the entrance of common iliac vein to inferior vena cava in 10 cases. Of the 521 cases,472 cases were followed-up with mean time of (53 ± 26) months, ranging from 8 to 108 months and 462 cases reported satisfactory results with normal life,the unsuccessful 10 cases still felt swelling pain especially in erect position. Complications occurred in 33 cases. Conclusions Open surgery combining with multiple interventional methods is a safe and effective method in the treatment of DVT.
