کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2912642 1575475 2012 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Quantity of Residual Thrombus after Successful Catheter-directed Thrombolysis for Iliofemoral Deep Venous Thrombosis Correlates with Recurrence
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Quantity of Residual Thrombus after Successful Catheter-directed Thrombolysis for Iliofemoral Deep Venous Thrombosis Correlates with Recurrence
چکیده انگلیسی

ObjectivesIliofemoral deep venous thrombosis (IFDVT) is an independent risk factor for recurrent DVT. It has been observed that recurrent DVT correlates with residual thrombus. This study evaluates whether risk of recurrence is related to the amount of residual thrombus following catheter-directed thrombolysis (CDT) for IFDVT.MethodsPatients who underwent CDT for IFDVT had their degree of lysis quantified by a reader blind to the patients' long-term clinical outcome. Patients were classified into two groups, ≥50% and <50% residual thrombus. Recurrence was defined as a symptomatic presentation with image verification of new or additional thrombus.ResultsA total of 75 patients underwent CDT for IFDVT. Median follow-up was 35.9 months. Sixty-eight patients (91%) had no evidence of recurrence and seven (9%) developed recurrence. Of the patients who had ≥50% (mean 80%) residual thrombus, 50% (4/8) experienced recurrence, but in those with <50% (mean 35%) residual thrombus, only 5% (3/67) had recurrent DVT (P = 0.0014).ConclusionThe burden of residual thrombus at completion of CDT correlates with the risk of DVT recurrence. Patients having CDT for IFDVT had a lower risk of recurrence than expected. Successful clearing of acute clot in IFDVT patients significantly reduces the recurrence risk compared to patients with a large residual thrombus burden.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Vascular and Endovascular Surgery - Volume 44, Issue 2, August 2012, Pages 210–213
نویسندگان
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