Mechanical Thrombectomy and Catheter Directed Thrombolysis Utilization in Patients with Deep Vein Thrombosis: Analysis of a database of a tertiary hospital.
Alexandr Kuperin, Evgeny Seliverstov, Evgeny An, Igor Lebedev, Igor Zolotukhin
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Abstract
Purpose: The aim of the study was to assess the mechanical thrombectomy (MT) and the catheter directed thrombolysis (CDT) utilization in patients with deep vein thrombosis (DVT) in tertiary care.
Materials and methods: We conducted a single-center retrospective cohort study. Tertiary hospital database from January 2022 to December 2023 was analyzed. All the records of patients referred for DVT were extracted. The collected data included general patient's information, medical history, results of physical examination, duplex ultrasound, laboratory analysis, etc. We assessed indications and contraindications for MT and CDT considering possible benefits and risks. We have identified patients who could be eligible for this technique.
Results: A total of 2427 patients with DVT were referred to hospital from January 2022 to December 2023. Among them, 961 patients (39.6%) had no indications for hospital admission or refused it and were recommended to receive anticoagulation on an outpatient basis, while 1466 patients (60.4%) were admitted to hospital. Among the hospitalized patients, 1277 had proximal DVT and 189 had distal DVT. The number of patients with iliofemoral DVT was 451 (18.6%). We found only 82 (3.4%) cases that could be potentially eligible for endovascular thrombectomy considering all possible indications and contraindications. Two attempts and fourteen successful procedures were conducted during the period of the study.
Conclusions: The number of patients with DVT who could be eligible for MT and CDT in a tertiary hospital is low.
期刊介绍：
Journal of Vascular Surgery: Venous and Lymphatic Disorders is one of a series of specialist journals launched by the Journal of Vascular Surgery. It aims to be the premier international Journal of medical, endovascular and surgical management of venous and lymphatic disorders. It publishes high quality clinical, research, case reports, techniques, and practice manuscripts related to all aspects of venous and lymphatic disorders, including malformations and wound care, with an emphasis on the practicing clinician. The journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals who treat patients presenting with vascular and lymphatic disorders. As the official publication of The Society for Vascular Surgery and the American Venous Forum, the Journal will publish, after peer review, selected papers presented at the annual meeting of these organizations and affiliated vascular societies, as well as original articles from members and non-members.
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