Catheter-directed thrombolysis for acute deep venous thrombosis of lower limbs

VernacularTitle:导管直接溶栓治疗急性下肢深静脉血栓形成
Author: Qinghua XU ; Pinghuai SHI ; Junhua ZHA ; Hua PAN ; Yuhe HUANG ; Xing WU
Publication Type:Journal Article
Keywords: Venous thrombosis; Vena cava filters; Catheterization,peripheral
From: Chinese Journal of Postgraduates of Medicine 2015;38(7):479-481
CountryChina
Language:Chinese
Abstract: Objective To explore the efficacy of catheter-directed thrombolysis (CDT) for acute deep venous thrombosis (DVT) of lower limbs.Methods The clinical data of 36 patients with acute DVT of lower limbs treated by CDT form September 2009 to September 2013 were analyzed respectively.Efficacy were assessed through observation of the circumferences,venous patency score and venous patency rate before and after thrombolysis.Results After treated by CDT,the effect of only 1 case with left lower limb DVT associated with inferior vena cava thrombosis was not obvious.The effects of 22 cases were excellence,and 13 cases were good.The total efficiency was 97.2％(35/36).The venous patency scores before and after CDT were (11.85 ± 1.12),(3.6 ± 1.53) points,and there had significant difference (P ＜ 0.01).After CDT,the venous patency rate was (69.6 ± 14.8)％.Conclusion Multi-channel CDT with small saphenous vein for acute DVT of lower limbs is safe and effective,with less invasion and quicker recovery.It is worthy of promotion in clinic.