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Midterm follow-up after pharmacomechanical thrombolysis for lower extremity deep venous thrombosis.
- Source :
-
Vascular and endovascular surgery [Vasc Endovascular Surg] 2009 Feb-Mar; Vol. 43 (1), pp. 61-8. Date of Electronic Publication: 2008 Sep 30. - Publication Year :
- 2009
-
Abstract
- Objective: To provide follow-up in patients treated with pharmacomechanical thrombolysis (PhMT) for lower extremity deep venous thrombosis (DVT).<br />Methods: Retrospective analysis of prospectively collected data. Patients underwent clinical evaluation, duplex ultrasound, venous clinical severity scoring, venous segmental disease scoring, and venous disability scoring.<br />Results: Fourteen patients were available for evaluation. Median age was 40 years (19-58). Median follow-up was 24 months (13-69 months). Thirteen of 14 patients (93%) had a venous disability score < 1 and 13 of 14 patients (93%) had a venous clinical severity scoring < 5. In all but 1 patient the venous segmental disease scoring score was < 5. All iliac segments were patent, all but 3 patients had partial infrainguinal obstruction and 5 of 14 (36%) had reflux.<br />Conclusions: Our data demonstrate that the good early clinical results after PhMT can be sustained on longer follow-up and may prevent the development of advanced postthrombotic syndrome.
- Subjects :
- Adult
Aged
Anticoagulants therapeutic use
Combined Modality Therapy
Disability Evaluation
Female
Humans
Male
Middle Aged
Phlebography
Postthrombotic Syndrome etiology
Retrospective Studies
Severity of Illness Index
Time Factors
Treatment Outcome
Ultrasonography, Doppler, Color
Vascular Patency
Venous Thrombosis complications
Venous Thrombosis pathology
Young Adult
Lower Extremity blood supply
Postthrombotic Syndrome prevention & control
Thrombectomy
Thrombolytic Therapy
Venous Thrombosis therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1538-5744
- Volume :
- 43
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Vascular and endovascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 18829583
- Full Text :
- https://doi.org/10.1177/1538574408323501