Volume 28, Issue 111 (11-2019)
JGUMS 2019, 28(111): 56-64 |
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Hemmati H, Moayeri far M, Rafiee E, Jafaryparvar Z, Hemmati G. Evaluation of Success Rate and Complication after Catheter Directed Thrombolysis in Acute Deep Vein Thrombosis of Ileofemoral Vein. JGUMS 2019; 28 (111) :56-64
URL: http://journal.gums.ac.ir/article-1-2198-en.html
URL: http://journal.gums.ac.ir/article-1-2198-en.html
Abstract: (2853 Views)
Abstract
Introduction: Considering the different treatment methods and their controversial efficacy and the importance of proper treatment with decreasing complications and costs for patients with acute Ileofemoral DVT, this study aimed to assess the success rate and complications of catheter-directed thrombolysis in patients with acute Ileofarmal DVT, referred to Razi Hospital in Rasht, 2017-2018.
Objective: To evaluate the Success Rate and Complication after Catheter Directed Thrombolysis in Acute Deep Vein Thrombosis of Ileofemoral Vein
Materials and Methods: This case-series study was performed onthe patients with acute Iliofemoral DVT underwent catheter-directed thrombolysis referred to Razi Hospital in Rasht, 2017-2018. All patients diagnosed with acute Iliofemoral DVT on the basis of color Doppler ultrasonography and venography were candidates for treatment. Patients with concomitant illnesses, such as diabetes mellitus, hypertension, underlying conditions such as malignancy and any other illnesses other than DVT, were excluded. The variables studied in this study were collected using a questionnaire.
Results: In this study, 20 patients with acute Iliofemoral DVT younger than 60-year-old with the onset of symptomless than 2 weeks were studied. The mean age of the subjects was 39.15±12.07 years, 11 (55%) cases were male and the rest were female. 13 cases were affected by acute left Iliofemoral DVT. AS for initial symptoms, the highest frequency (65%) was related to pain, swelling, and tenderness. The results of the study showed that there was a 100% success rate, and none of the patients in the follow-up period of 6 months showed restenosis.
Conclusion: Based on this study and comparison to other authors’ recommendations, it seems that the success ratein catheter-directed thrombolysis in patients with acute Ileofemoral DVT was100%. There were no complications in 75% of the patients. The most reported complication was pain and there was no statistically significant relationship between the complications of the patients during the treatment, the duration of admission and age and sex.
Conflict of interest: non declared
Introduction: Considering the different treatment methods and their controversial efficacy and the importance of proper treatment with decreasing complications and costs for patients with acute Ileofemoral DVT, this study aimed to assess the success rate and complications of catheter-directed thrombolysis in patients with acute Ileofarmal DVT, referred to Razi Hospital in Rasht, 2017-2018.
Objective: To evaluate the Success Rate and Complication after Catheter Directed Thrombolysis in Acute Deep Vein Thrombosis of Ileofemoral Vein
Materials and Methods: This case-series study was performed onthe patients with acute Iliofemoral DVT underwent catheter-directed thrombolysis referred to Razi Hospital in Rasht, 2017-2018. All patients diagnosed with acute Iliofemoral DVT on the basis of color Doppler ultrasonography and venography were candidates for treatment. Patients with concomitant illnesses, such as diabetes mellitus, hypertension, underlying conditions such as malignancy and any other illnesses other than DVT, were excluded. The variables studied in this study were collected using a questionnaire.
Results: In this study, 20 patients with acute Iliofemoral DVT younger than 60-year-old with the onset of symptomless than 2 weeks were studied. The mean age of the subjects was 39.15±12.07 years, 11 (55%) cases were male and the rest were female. 13 cases were affected by acute left Iliofemoral DVT. AS for initial symptoms, the highest frequency (65%) was related to pain, swelling, and tenderness. The results of the study showed that there was a 100% success rate, and none of the patients in the follow-up period of 6 months showed restenosis.
Conclusion: Based on this study and comparison to other authors’ recommendations, it seems that the success ratein catheter-directed thrombolysis in patients with acute Ileofemoral DVT was100%. There were no complications in 75% of the patients. The most reported complication was pain and there was no statistically significant relationship between the complications of the patients during the treatment, the duration of admission and age and sex.
Conflict of interest: non declared
Keywords: Catheterization Plethysmography, Impedance Thrombosis Ultrasonography, Doppler, Color Venous Thrombosis
Received: 2019/11/17 | Accepted: 2019/11/17 | Published: 2019/11/17
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