Interventional treatment for acute iliofemoral venous thrombosis: a comparison between angioJet rheolytic thrombectomy and manual aspiration thrombectomy
10.3760/cma.j.issn.1007-631X.2018.05.008
- VernacularTitle:流变式与手动血栓清除术介入治疗急性髂股静脉血栓形成的疗效比较
- Author:
Maofeng GONG
1
;
Xu HE
;
Wensheng LOU
;
Liang CHEN
;
Guoping CHEN
;
Haobo SU
;
Jinhua SONG
;
Wanyin SHI
;
Jianping GU
Author Information
1. 210006,南京医科大学附属南京医院(南京市第一医院)介入血管科
- Keywords:
Venous thrombosis;
Radiology,interventional;
Percutaneous mechanical thrombectomy
- From:
Chinese Journal of General Surgery
2018;33(5):388-392
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of angioJet rheolytic thrombectomy (ART) and manual aspiration thrombectomy (MAT) combined with catheter-directed thrombolysis (CDT) in the treatment of acute iliofemoral venous thrombosis (IFVT).Methods 62 acute IFVT patients undergoing interventional treatment with either ART (group A,30 cases) or MAT (group B,32 cases) from 2014 to 2016,were enrolled in this study.Clinical efficacy and postthrombotic syndrome (PTS) rate were compared between the two groups.Results The instant thrombolysis rate in group A was 83.3％ (25/30),that was 59.4％ (19/32) in group B(P ＜ 0.05).Time used for adjunctive thrombolysis and dosages of UK in group A were (73.92 ±31.68)h and (110.71 ±44.83) × 104 U,while in Group B were (121.20 ±25.20)h and (313.49 ± 70.11) × 104 U,respectively (P ＜0.01).Final thrombolysis rate of these two groups were 93.3％ (28/30) and 87.5％ (28/32) (P ＞ 0.05).No severe complications occurred during the treatment of ART and MAT procedure.Fifty seven cases (91.9％) were followed-up,the valvular regurgitation rate in group A and group B were 14.3％ (4/28) and 37.9％ (11/29),respectively (P ＜ 0.05).PTS rate in group A was 25.0％ (7/28) and 37.9％ (11/29) in group B (P ＞0.05).Conclusions Interventional treatment for acute IFVT with ART and MAT can both achieve high clinical efficacy.ART are with higher instant thrombolysis rate and less valvular regurgitation compared with MAT.
