Concurrent hybrid AngioJet and stenting in the treatment of acute deep vein thrombosis of the lower extremity caused by Cockett syndrome

VernacularTitle:一站式AngioJet治疗Cockett综合征合并急性下肢深静脉血栓形成
Author: Yeqing ZHANG ¹ ; Xiaoqiang LI
Author Information

1. 苏州大学附属第二医院血管外科
Keywords: Venous thrombosis; Mechanical thrombolysis; Cockett syndrome
From: Chinese Journal of General Surgery 2018;33(9):768-771
CountryChina
Language:Chinese
Abstract: Objective To study the short term results for Cockett syndrome resulting in acute deep vein thrombosis (DVT) of the lower extremity treated by AngioJet.Methods 32 Cockett syndrome resulting in acute DVT cases treated by hybrid AngioJet thrombolysis and stenting or catheter-directed thrombolysis (CDT) from Feb 2014 to Jan 2017 were retrospectively reviewed.There were 16 patients treated by AngioJet thrombolysis and stent (group A).The other 16 cases were treated by CDT (group B).All the 32 patients received warfarin at least 6 month after operation.Results The mean time of hospital stay was shorter in group A than B [(6.8 ± 2.1) d vs.(10.8 ± 3.2) d,P ＜ 0.05].The amount of urokinase was less in grpup A than in B [(101.8 ± 45.2) U vs.(312.8 ± 85.1) U,P ＜ 0.05].29 patients were followed up.The score of vein patency between the two groups had no significant difference (P ＞ 0.05).Conclusion Compared with CDT group,AngioJet thrombolysis and stent group has a less total dosage of urokinase,shorter hospital stay.