E-ISSN: 1305-3612
Endovascular treatment of acute and subacute iliofemoral deep venous thrombosis by using manual aspiration thrombectomy: long-term results of 139 patients in a single center
PDF
Cite
Share
Request
Interventional Radiology - Original Article
VOLUME: 18 ISSUE: 4
P: 410-416
July 2012

Endovascular treatment of acute and subacute iliofemoral deep venous thrombosis by using manual aspiration thrombectomy: long-term results of 139 patients in a single center

Diagn Interv Radiol 2012;18(4):410-416
DOI: 10.4261/1305-3825.DIR.5175-11.1
Levent Oğuzkurt 1
Uğur Özkan 2
Öner Gülcan 3
Nihal Koca 4
Serkan Gür 5
1. Department of Radiology, Bahçelievler Medical Park Hospital, İstanbul, Turkey
2. Department of Radiology , Başkent University School of Medicine Research and Training Hospital, Adana, Turkey.
3. Departments of Thoracic and Cardiovascular Surgery Başkent University School of Medicine, Ankara, Turkey
4. Department of Radiology, Başkent University School of Medicine, Adana, Turkey
5. Department of Radiology, Başkent University School of Medicine, Ankara, Turkey
No information available.
No information available
Received Date: 23.09.2011
Accepted Date: 06.10.2011
PDF
Cite
Share
Request

ABSTRACT

PURPOSE

To evaluate the immediate and long-term outcomes of percutaneous manual aspiration thrombectomy with provisional stent placement in treating acute and subacute iliofemoral deep venous thrombosis (DVT).

MATERIALS AND METHODS

One hundred and thirty-nine consecutive patients (75 women; mean age, 51 years) with acute (n=110) or subacute (n=29) iliofemoral DVT underwent endovascular treatment (total of 148 limbs). All patients were treated with percutaneous manual aspiration thrombectomy by using large-bore guiding catheters with adjunctive catheter-directed thrombolysis and stent placement, if needed. Venography was used to grade thrombus removal.

RESULTS

Thrombus removal was less than 50% in five limbs (3.4%), between 50% and 95% in 45 limbs (30.4%), and more than 95% in 98 limbs (66.2%). At least one stent was placed in 99 limbs. Recurrent thrombosis occurred in 27 patients, mostly during the first few months after the procedure. Rethromboses were more frequent among postpartum patients. One patient had a major pulmonary embolism. No major hemorrhage or procedure-related deaths occurred.

CONCLUSION

Manual aspiration thrombectomy is a safe, rapid, and effective treatment option for acute and subacute iliofemoral DVT. Hence, catheter-directed thrombolysis may not be required in a majority of patients.