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.
引用
收藏
页码:184 / 191
页数:8
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