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Single-session Aspiration Thrombectomy of Lower Extremity Deep Vein Thrombosis Using Large-size Catheter without Pharmacologic Thrombolysis

DC FieldValueLanguage
dc.contributor.author김만득-
dc.contributor.author박성일-
dc.contributor.author원종윤-
dc.contributor.author이도연-
dc.date.accessioned2015-01-06T17:38:21Z-
dc.date.available2015-01-06T17:38:21Z-
dc.date.issued2014-
dc.identifier.issn0174-1551-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/100353-
dc.description.abstractPURPOSE: To retrospectively evaluate the efficacy of single-session aspiration thrombectomy using large catheters without pharmacologic thrombolysis to treat acute and subacute lower extremity deep vein thrombosis (DVT). METHODS: From January 2008 to December 2011, single-session aspiration thrombectomy using large, 11F introducer catheters to treat acute and subacute lower extremity DVT was performed in 74 limbs of 74 patients (M/F = 23/51, age range 36-88 years), and clinical and imaging follow-up of over 6 months were obtained in 26 patients. Causes of DVT were May-Thurner syndrome (n = 65), malignancy related (n = 6), and pelvic mass (n = 3). A 14F introducer sheath was inserted through the popliteal vein, followed by rotational thrombus maceration and aspiration thrombectomy. Angioplasty and stent placement were performed when needed. Radiological images and medical records were reviewed for immediate and midterm results, complications, and recurrences. RESULTS: Initial technical success rate was 89.2% (66 patients). Stenting was performed in 55 patients. The failures were due to underlying chronic thrombi/DVT (n = 7) and stent failure due to huge pelvic mass (n = 1). There was no procedure-related complication. In the 26 midterm follow-up patients for a duration of 6-48 months, there was no recurrence (n = 20), stent occlusion (n = 3), or femoral vein occlusion (n = 3). One-year primary patency rate in stent/iliac vein, femoral vein, and popliteal/infrapopliteal vein were 88.5, 88.5, and 96.2%, respectively. CONCLUSION: Single-session aspiration thrombectomy for acute and subacute lower extremity DVT using large introducer catheters without pharmacologic thrombolysis is feasible with acceptable immediate and midterm results, excluding complications related to pharmacologic thrombolysis.-
dc.description.statementOfResponsibilityopen-
dc.format.extent412~419-
dc.relation.isPartOfCARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHCatheters*-
dc.subject.MESHCohort Studies-
dc.subject.MESHEndovascular Procedures/instrumentation*-
dc.subject.MESHEndovascular Procedures/methods-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHLower Extremity-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPhlebography/methods-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Assessment-
dc.subject.MESHSeverity of Illness Index-
dc.subject.MESHSuction/instrumentation-
dc.subject.MESHThrombectomy/methods*-
dc.subject.MESHThrombolytic Therapy-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHVascular Patency/physiology-
dc.subject.MESHVenous Thrombosis/diagnostic imaging-
dc.subject.MESHVenous Thrombosis/surgery*-
dc.titleSingle-session Aspiration Thrombectomy of Lower Extremity Deep Vein Thrombosis Using Large-size Catheter without Pharmacologic Thrombolysis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorSung Il Park-
dc.contributor.googleauthorMyungsu Lee-
dc.contributor.googleauthorMu Sook Lee-
dc.contributor.googleauthorMan Deuk Kim-
dc.contributor.googleauthorJong Yun Won-
dc.contributor.googleauthorDo Yun Lee-
dc.identifier.doi10.1007/s00270-013-0676-1-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02443-
dc.contributor.localIdA00420-
dc.contributor.localIdA01510-
dc.contributor.localIdA02718-
dc.relation.journalcodeJ00459-
dc.identifier.eissn1432-086X-
dc.identifier.pmid23793745-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00270-013-0676-1-
dc.subject.keywordDeep vein thrombosis (DVT)-
dc.subject.keywordEndovascular treatment-
dc.subject.keywordThrombectomy-
dc.subject.keywordThrombolysis-
dc.subject.keywordVenous intervention-
dc.contributor.alternativeNameKim, Man Deuk-
dc.contributor.alternativeNamePark, Sung Il-
dc.contributor.alternativeNameWon, Jong Yun-
dc.contributor.alternativeNameLee, Do Yun-
dc.contributor.affiliatedAuthorWon, Jong Yun-
dc.contributor.affiliatedAuthorKim, Man Deuk-
dc.contributor.affiliatedAuthorPark, Sung Il-
dc.contributor.affiliatedAuthorLee, Do Yun-
dc.rights.accessRightsfree-
dc.citation.volume37-
dc.citation.number2-
dc.citation.startPage412-
dc.citation.endPage419-
dc.identifier.bibliographicCitationCARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, Vol.37(2) : 412-419, 2014-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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