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- Title
Midterm Follow-up After Pharmacomechanical Thrombolysis for Lower Extremity Deep Venous Thrombosis.
- Authors
Gasparis, Antonios P.; Labropoulos, Nicos; Tassiopoulos, Apostolos K.; Phillips, Brett; Pagan, Jose; Cheng Lo; Ricotta, John
- Abstract
Objective: To provide follow-up in patients treated with pharmacomechanical thrombolysis (PhMT) for lower extremity deep venous thrombosis (DVT). Methods: Retrospective analysis of prospectively collected data. Patients underwent clinical evaluation, duplex ultrasound, venous clinical severity scoring, venous segmental disease scoring, and venous disability scoring. Results: Fourteen patients were available for evaluation. Median age was 40 years (19-58). Median follow-up was 24 months (13-69 months). Thirteen of 14 patients (93%) had a venous disability score < 1 and 13 of 14 patients (93%) had a venous clinical severity scoring < 5. In all but 1 patient the venous segmental disease scoring score was < 5. All iliac segments were patent, all but 3 patients had partial infrainguinal obstruction and 5 of 14 (36%) had reflux. Conclusions: Our data demonstrate that the good early clinical results after PhMT can be sustained on longer follow-up and may prevent the development of advanced postthrombotic syndrome.
- Subjects
THROMBOLYTIC therapy; INTRAVASCULAR ultrasonography; CARDIOVASCULAR diseases; EVALUATION; PATIENTS
- Publication
Vascular & Endovascular Surgery, 2009, Vol 43, Issue 1, p61
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574408323501