Clinical research of catheter-directed thrombolysis for acute lower limb deep venous thrombosis by the posterior tibial vein
10.3760/cma.j.issn.1673-4203.2016.05.008
- VernacularTitle:经胫后静脉入路导管溶栓术治疗急性下肢深静脉血栓
- Author:
Binlin ZHANG
;
Abaidoula SAILIMU
;
Sheng GUAN
;
Qingbo FANG
;
Hongbo CI
;
Xiaohu GE
- Publication Type:Journal Article
- Keywords:
Low extremity;
Deep venous thrombosis;
Thrombolysis;
Catheter directed thrombolysis;
Inferior vena cava filter;
Treatment outcome
- From:
International Journal of Surgery
2016;43(5):318-321
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy and clinical value of catheter-directed thrombolysis for acute lower limb deep venous thrombosis by the posterior tibial vein.Methods Atotal of 46 patints with acute deep venous thrombosis in the department of vecular surgery of People's hospital of the xinjiang uygur autonomous region,under the protection of the inferior vena cava fillters,we treated by catheter directed thrombosisthrough the posterior tibial vein with urokinase continuous infusion.Results In the total gourp of 46 patients,39 patients effectively relieve the swelling,7 of which was ineffective,and 4 cases of patients ease the swelling after the expansion by the iliac vein balloon,3 patients accepted the iliac vein balloon dilation and stent placement,6 patients who were bleeding were treated with pressure dressing,andthere was no other complications.After the treatment,the venous patency score was low,and the patency rate was high and which have a statistical difference (P ＜ 0.05) before and after thrombolysis.Before and after thrombolytic therapy for lower limb swelling rate,there was statistically significant difference (P ＜ 0.05).Conclusions It is a safe and effective method to treat the deep venous thrombosis of lower limbs with catheter-directed thrombolysis by the protection of inferior vena cava filter.It can enhance the patency of the vein and shorten the swelling time.
