2003 Volume 14 Issue 3 Pages 233-238
Between April 2000 and May 2002, 15 patients were performed endovascular intervention (EVI) for deep vein thrombosis (DVT). There were 9 men and 6 women, with average age of 54.3±17.9 years old and ranging from 28 to 76 years old. Twelve patients had left side and 3 patients had right side DVT.
Temporary IVC filter was placed in infra-renal vena cava inserted from right jugular vein or right subclavian vein before EVI preventing from pulmonary embolism due to isolated thrombus.
Patients were placed prone position and delivery seath was inserted from popliteal vein using ultrasound guiding.
Endovascular intervention was performed catherter-directed thrombolysis administering urokinase that doses were 120,000 to 480,000 IU and catheter thrombectomy using hydrodinamic thrombectomy catheter (Hydrolyzer® or OASIS®). Percutaneous transluminal angioplasty (PTA) and stent implantation were performed for iliac compression syndrome in the left side DVT.
After 1 week, all patients were performed follow up venography for evaluated patency and removed temporary IVC filter.
Direct thrombolysis was performed all of patients and only one patient was carried out complete revascularization. Another 14 patients were performed catheter thrombectomy. Eight patients in left side DVT were combined with iliac compression syndrome, therefore PTA and Stent implantation were performed. Eight in the all of 15 patients were carried out revascularization in follow up venography and early patency was 53.3%.
Endovascular intervention is expected of new and less invasive treatment for the deep vein thrombosis.
