Ultrasound guided popliteal vein catheter thrombolysis for acute lower extremity deep venous thrombosis
10.3760/cma.j.issn.1007-631X.2015.04.002
- VernacularTitle:超声引导下经腘静脉置管溶栓治疗急性下肢深静脉血栓形成
- Author:
Weiqing HU
;
Bo SUN
;
Changan PEI
;
Wuguang JI
;
Guangxin CAO
;
Jiefeng ZHANG
- Publication Type:Journal Article
- Keywords:
Venous thrombosis;
Thrombolytic therapy;
Ultrasonography,interventional;
Popliteal vein
- From:
Chinese Journal of General Surgery
2015;30(4):260-263
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and efficacy of ultrasound-guided popliteal vein catheter thrombolysis for acute deep venous thrombosis of the lower extremity.Methods Clinical data were retrospectively analyzed on 120 patients of unilateral acute lower extremity deep vein thrombosis from April 2010 to April 2013.60 cases were included in systemic thrombolytic group; 60 cases into catheter directed thrombolysis group.Thrombolysis rate and limb swelling reduction rate were calculated and compared between the two groups.Results Due to limb swelling rate,in systemic thrombolysis group:Thigh swelling reduction rate was (77 ± 9) ％ ; Leg swelling reduction rate was (70 ± 11) ％,while in catheter directed thrombolys group,that was (87 ± 5) ％,and (80 ± 9) ％,respectively (P ＜ 0.05).The thrombolysis rate in systemic group was (59 ± 14)％,that was (71 ± 13)％ in catheter directed thrombolysis group (P ＜ 0.05).Conclusions Ultrasound guided precutaneous catheter popliteal vein thrombolysis significantly improves the short-term outcome of deep venous thrombosis in terms of leg swelling reduction rate and thrombolysis reduction rate.
