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Analysis of the efficacy of angiojet percutaneous mechanical thrombectomy combined with catheter-directed thrombolysis versus catheter-directed thrombolysis alone in the treatment of subacute iliofemoral deep venous thrombosis in elderly patients.
Cong, Luyi; Huang, Lihua; Fan, Benfang; Hong, Xin; Ma, Lingyu; Huang, Tianan.
Afiliación
  • Cong L; Department of Interventional Radiology, The Affiliated Hospital 2 of Nantong University, Nantong, China.
  • Huang L; Department of Interventional Radiology, Nantong Haimen People's Hospital, Nantong, China.
  • Fan B; Department of Interventional Radiology, The Affiliated Hospital 2 of Nantong University, Nantong, China.
  • Hong X; Department of Interventional Radiology, The Affiliated Hospital 2 of Nantong University, Nantong, China.
  • Ma L; Department of Interventional Radiology, The Affiliated Hospital 2 of Nantong University, Nantong, China.
  • Huang T; Department of Interventional Radiology, The Affiliated Hospital 2 of Nantong University, Nantong, China.
Phlebology ; : 2683555241273064, 2024 Aug 14.
Article en En | MEDLINE | ID: mdl-39140968
ABSTRACT

PURPOSE:

To analysis the clinical efficacy of Angiojet percutaneous mechanical thrombectomy (PMT) combined with Catheter-Directed Thrombolysis (CDT) compared to CDT in treatment of subacute iliofemoral deep venous thrombosis (IFDVT) in elderly patients.

METHODS:

A retrospective analysis of the clinical data of 117 elderly patients hospitalized for subacute IFDVT was conducted. The patients'basic perioperative data and 2-years follow-up data were compared.

RESULTS:

Group A (PMT + CDT) had a more patients reaching Grade III thrombus clearance, and a lower thrombolysis time, dosage of thrombolytic drugs, hospital stay, and bleeding incidence compared to Group B (CDT). There was a statistically significant difference in the occurrence rate of severe PTS within 2 years (p < 0.05).

CONCLUSION:

In treating elderly patients with subacute IFDVT, PMT + CDT effectively reduces the thrombus burden and the dosage of thrombolytic drugs, shortens the hospital stay, and importantly, reduces the occurrence rate of severe PTS within 2 years.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Phlebology Asunto de la revista: ANGIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Phlebology Asunto de la revista: ANGIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido