Combination multiple interventional therapies for acute lower extremity deep venous thrombosis
10.3760/cma.j.issn.1007-631X.2016.05.009
- VernacularTitle:多介入模式联合治疗急性下肢深静脉血栓形成
- Author:
Mingan LI
;
Jiesheng QIAN
;
Zhengran LI
;
Mingsheng HUANG
;
Chun WU
;
Junyang LUO
;
Zaibo JIANG
- Publication Type:Journal Article
- Keywords:
Venous thrombosis;
Thrombolytic therapy;
Angioplasty,balloon;
Radiology,interventional
- From:
Chinese Journal of General Surgery
2016;31(5):391-394
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate combination multiple interventional therapies for acute lower extremity deep venous thrombosis (DVT).Methods From January 2008 to October 2014,96 patients with acute unilateral proximal or mixed DVT received interventional treatments including 74 DVT cases of the left lower extremity,and 22 patients in the right.Procedures undertaken included catheter-directed thrombolysis (CDT) only (n =7),CDT combined with thrombolysis (n =89),balloon angioplasty (n =32),and stent implantation (n =6).Results The mean circumference difference between the normal and affected thighs dicreased from (6.7 ± 1.8) cm to (0.8 ± 0.3) cm,t =13.48,P ＜ 0.001.That between the normal and affected calves decreased from (5.9 ± 1.6)cm to (0.7 ±0.4)cm,t =12.84,P ＜0.001.After intervention the Porter's score reduced from (9.7 ± 2.4) points to (1.1 ± 0.6) points,t =15.46,P ＜0.001,and the venous patency rate was (90 ± 8)％.Conclusion CDT combined with thrombolysis through dorsal vein,PTA,and stent implantation is a safe and effective therapeutic modality for acute lower extremity DVT.
