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Efficacy of Mechanical Thrombectomy in Preventing Post-Thrombotic Syndrome in Acute DVT: A Retrospective Study
被引:0
|作者:
Philip, Vinoth Kumar
[1
]
Yasir, Mohamed B.
[1
]
机构:
[1] VJ Hosp, Dept Plast & Microvasc Surg, 12-12-1,STC Coll New Bus Stand Rd, Tirunelveli 627007, Tamil Nadu, India
关键词:
deep vein thrombosis;
pulmonary embolism;
post-thrombotic syndrome;
thrombectomy;
DEEP-VEIN THROMBOSIS;
CATHETER-DIRECTED THROMBOLYSIS;
VENOUS THROMBOSIS;
MANAGEMENT;
RISK;
D O I:
10.1055/s-0044-1786369
中图分类号:
R61 [外科手术学];
学科分类号:
摘要:
Background Lower limb deep vein thrombosis (DVT) is associated with significant morbidity and death. DVT can result in complications such as postphlebitic syndrome, pulmonary embolism, and death. Combining pretest probability, D-dimer testing, and compression ultrasound imaging enables a safe and convenient study of suspected lower-extremity thrombosis. This study aimed to assess the expanding body of research supporting thrombectomy as a form of DVT therapy. Methods A retrospective study was performed on individuals with venous Doppler-confirmed DVT and occlusive thrombus. Four-hundred fifty-one consecutive patients were selected for the study based on the inclusion and exclusion criteria. In this investigation, thrombectomy was the preferred therapeutic approach. Results The study reports a male predominance of 56.1%. Most patients (25.7%) were between the age of 51 and 60, with 84.7% reporting pain and lower-extremity swelling as the two most common clinical symptoms. The femoral vein was noted as the most frequent site of thrombus in the current research (51.0%), with acute DVT accounting for most cases (85.1%). Most of the patients (97.3%) were primarily asymptomatic after one year of follow-up. Conclusion Thrombectomy is a reliable treatment modality for DVT patients in regaining venous patency, preventing DVT recurrence, treating post-thrombotic syndrome, and preventing pulmonary embolism.
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页码:184 / 191
页数:8
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