Vascular intervention plus arteriovenous fistula for the treatment of acute deep vein thrombosis of the lower extremities
- VernacularTitle:血管介入联合动静脉造瘘治疗急性下肢深静脉血栓52例
- Author:
Xiaoqiang LI
;
Chaowen YU
;
Weimin ZHOU
;
Zhonglin NIE
;
Qingyou MENG
;
Pengfei DUAN
;
Jie GAO
;
Wei ZHOU
- Publication Type:Journal Article
- Keywords:
Venous thrombosis;
Catheter ablation;
Vena cava filters
- From:
Chinese Journal of General Surgery
2001;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the appropriate method for mechanical thrombectomy, selection of vena cava filter and its duration in place. Method Fifty-five cases of severe acute deep vein thrombosis of the lower limbs were enrolled. Vena cava filter was first placed, then thrombectomy was performed with Amplatz thrombectomy device (ATD). The iliac vein lesions were dilated by balloon followed by temporary arterivenous fistula construction. Result Procedures were all successful in 52 cases, iliac vein stenosis was found in 47 cases and dilated by balloon. Permanent vena cava filters were placed in 20 cases while temporary in 32 cases. Fifty cases were followed-up for 3～30 monthes. Tumefaction disappeared in 46 cases leaving no after thrombosis syndrome. Conclusion This comprehensive modality is effective, less traumatic and of quick recovery. During the procedure, possible residual thrombi should always be under close attention and stenosis in iliac veins be confirmed by repeated venography. In most cases, placing a temporary vena cava filter was the best choice.
