Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26677349
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Thromb+J
2015 ; 13
(ä): 40
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Original approach for thrombolytic therapy in patients with Ilio-femoral deep
vein thrombosis : 2 years follow-up
#MMPMID26677349
Fiengo L
; Bucci F
; Khalil E
; Salvati B
Thromb J
2015[]; 13
(ä): 40
PMID26677349
show ga
OBJECTIVE: The aim of the study was to discuss the results of catheter-directed
thrombolysis and complementary procedures to treat acute iliofemoral deep vein
thrombosis (DVT) evaluating the safety and effectivness of an easy access such as
the Great Saphenous Vein. METHODS AND MATERIALS: A total of 22 consecutive
patients with iliofemoral thrombosis and two patients with femoro-popliteal
thrombosis on recent onset diagnosed with Ultrasound Doppler and contrast
venography underwent intrathrombus drip infusion of urokinase while intravenous
heparin was continued using saphenical access. Residual venous stenosis were
treated in six patients by percutaneous balloon Angioplasty and stenting. All
patients underwent routine venous duplex imaging at 30 days, 3 months, 6 months
and every 6 months thereafter. RESULTS: Complete patency of thrombosed veins was
restored in 22 patients (91 %) with prompt symptomatic relief. There were no
major complications in the immediate outcomes. At follow-up, two patients
reported a persistant slim iliac vein stenosis, two patients had post-thrombotic
syndrome, and two patients showed Deep Vein Reflux. CONCLUSION: Local
thrombolysis using saphenical access was a safe and effective approach for the
treatment of acute iliofemoral deep vein thrombosis. It seems to be a valid, easy
and safe alternative, reducing the risks of haematoma and venous lesions, which
can be observed when using femoral, popliteal, and trans-jugular access.