Abstract
Objectives: The present study aimed to investigate our treatment strategies for acute deep venous thrombosis (DVT), and to evaluate the treatment outcomes. Methods: We retrospectively reviewed the charts of patients who underwent surgical thrombectomy (ST) and/or catheter-directed thrombolysis (CDT). Furthermore, we added endovascular treatment (EVT) to these procedures. The treatment strategies were divided to three groups: in the Early period group, we performed simultaneous ST and EVT; in the Middle period group, we performed simultaneous ST and EVT, then CDT; in the Latter period group, we performed CDT then ST and/or EVT. Results: 20 patients were treated in this study period. The Early period, Middle period and Latter period groups included 13, 2 and 5 patients, respectively. In the Early period group, the patency of the affected venous lesions was maintained in 9 of 13 patients (69%). In contrast, with the exception of one case, the patency of the affected venous lesions was maintained in all of the patients in the Middle period and Latter period groups and all of the patients have been free from symptoms of venous insufficiency. Conclusion: Our treatment strategy using the hybrid ST and CDT procedure might be a safe and feasible treatment for acute DVT.
