The role of temporary arteriovenous fistula in the treatment of acute deep venous thrombosis with Amplatz thrombectomy device
- VernacularTitle:暂时性动静脉瘘在血栓消融术治疗急性深静脉血栓形成中的作用
- Author:
Weimin ZHOU
;
Xiaoqiang LI
;
Chaowen YU
;
Zhonglin NIE
;
Qingyou MENG
- Publication Type:Journal Article
- Keywords:
Arteriovenous fistula;
Catheter ablation;
Venous thrombosis
- From:
Chinese Journal of General Surgery
1997;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the role of temporary arteriovenous fistula(AVF) in the treatment of acute deep venous thrombosis(DVT) with Amplatz thrombectomy device(ATD). Method Seventy-six cases of acute DVT underwent mechanical thrombolysis with ATD, in which 50 cases received a temporary AVF after interventional therapy. Result One case died of pulmonary embolism. Ipsilateral limbs swelling subsided and pain alleviated in the remaining 72 cases since first post-operative day. Secondary contralateral DVT developed in 2 cases on the 7th post-operative day. The patency of temporary AVF was 86%(43/50). Sixty-eight cases (90.7%) were followed-up for 10~42 months post-operatively with limbs swelling completely subsided in 59 cases and ameliorated in 6 cases. Secondary inferior vena cava thrombosis developed in one case and 2 cases died of unrelated diseases. Conclusion Temporary AVF increases blood flow volume and blood velocity in the thrombectomized vein segment to improve the vein patency, hence is a valuable auxiliary means of ATD.
