Pigtail catheter mashing thrombosis combined with catheter directed thrombolysis in the treatment of acute iliofemoral venous thrombosis in patients of Cockett syndrome
10.3760/cma.j.issn.1007-631X.2014.01.003
- VernacularTitle:猪尾巴导管碎栓联合灌注溶栓治疗Cockett综合征合并急性左下肢中央型深静脉血栓
- Author:
Yunbiao GUAN
;
Xingsheng CHEN
;
Yadong ZHOU
;
Nan LI
;
Ming XUE
;
Dengke HONG
;
Xuexun ZHENG
- Publication Type:Journal Article
- Keywords:
Venous thrombosis;
Thrombolytic therapy;
Urokinase
- From:
Chinese Journal of General Surgery
2014;29(1):9-12
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate pigtail catheter mashing thrombosis combined with catheter directed thrombolysis in the treatment of acute iliofemoral venous thrombosis complicated by Cockett syndrome in the left lower limbs.Method Data of 137 cases of acute iliofemoral venous thrombosis complicated with Cockett syndrome in left lower limb by interventional therapy from January 2007 to October 2012 were analyzed retrospectively.Inferior vena cava filters were placed in all of the patients.Patients were divided into two groups:Group A (n =81) treated with catheter directed thrombolysis only,Group B (n =56) treated with pigtail catheter mashing thrombosis combined with catheter directed thrombolysis.After operation,patients were treated by anticoagulation with urokinase and heparin calcium,and then warfarin for 6 to 1 2 months.Results The thrombolysis time in group B was significantly shorter than that in group A (P ＜0.01),the dosage of urokinase was significantly less than that in group A(P ＜ 0.01).The venous patency score in group B after therapy was significantly better than in group A (P ＜ 0.01).121 patients were followed up for 10-60 months.There were no pulmonary embolism.Conclusions Pigtail catheter mashing thrombosis combined with catheter directed thrombolysis in the treatment of acute iliofemoral venous thrombosis complicated with Cockett syndrome in left lower limb can improve thrombolytic efficiency,shorten thrombolysis time,reduce the use of urokinase.
