Sage Journals: Discover world-class research

Abstract

Acute arterial deep venous thrombosis is one of the most commonly treated conditions in vascular disease. Arteriosclerosis of the extremities is the most common cause of occlusive arterial disease in patients over 40 years of age. Acute lower-extremity deep vein thrombosis also remains a major clinical issue: over 1 million new cases are diagnosed in the United States annually. This results in an estimated 50,000 to 200,000 deaths that are due to pulmonary embolism each year. Deep vein thrombosis is also responsible for substantial long-term morbidity owing to the development of the postthrombotic syndrome. With such a high prevalence of acute arterial and venous thrombosis, it is apparent that any improvement in therapy has the potential for a significant effect on the general health. This article is directed at providing the practicing vascular surgeon with the basic fund of knowledge in treating acute arterial and venous thrombosis with percutaneous mechanical thrombectomy devices.

Keywords

deep vein thrombosis percutaneous mechanical thrombectomy device arteriosclerosis

Get full access to this article

View all access options for this article.

References

1. Kasirajan K , Gray B , Ouriel K : Percutaneous Angiojet thrombectomy in the management of extensive deep venous thrombosis. J Vasc Interv Radiol 12(2):179-185, 2001.

2. Killewich LA , Bedford GR , Beach KW , et al: Spontaneous lysis of deep venous thrombi: Rate and outcome. J Vasc Surg 9(1):89-97, 1989.

3. Meissner MH , Manzo RA , Bergelin RO , et al: Deep venous insufficiency: The relationship between lysis and subsequent reflux. J Vasc Surg 18(4):596-605, 1993.

4. Meissner MH , Caps MT , Bergelin RO , et al: Propagation, rethrombosis and new thrombus formation after acute deep venous thrombosis. J Vasc Surg 22(5):558-567, 1995.

5. Meissner MH : Thrombolytic therapy for acute deep vein thrombosis and the venous registry. Rev Cardiovasc Med 3 Suppl 2:S53-S60, 2002.

6. Mewissen MW , Seabrook GR , Meissner MH , et al: Catheter-directed thrombolysis for lower extremity deep venous thrombosis: Report of a national multicenter registry. Radiology 211(1):39-49, 1999.

7. Semba CP , Dake MD . Iliofemoral deep venous thrombosis: Aggressive therapy with catheter-directed thrombolysis. Radiology 191(2):487-494, 1994.

8. Shull KC , Nicolaides AN , Fernandes E , et al:. Significance of popliteal reflux in relation to ambulatory venous pressure and ulceration. Arch Surg 114(11):1304-1306, 1979.

9. Arko FR , Cipriano P , Lee E , et al: Treatment of axillosubclavian vein thrombosis: A novel technique for rapid removal of clot using low-dose thrombolytics. J Endovasc Ther 2003;10(4):733-738.

10.

10. Comerata A , Aldridge SC : Thrombolytic therapy for deep venous thrombosis: A clinical review, Can J Surg 36:359-364, 1993.

11.

11. Vian RF , Benetti F , Vrsalovick F , et al: Percutaneous infusion system for in situ thrombolysis in the abdominal aorta and iliac arteries. J Endovasc Ther 9(6):932-935, 2002.

12.

12. Silva JA , Ramee SR , Collins TJ , et al: Rheolytic thrombectomy in the treatment of acute limb-threatening ischemia: Immediate results and six-month follow-up of the multi-center Angiojet registry. Possis Peripheral Angio Jet Study AngioJet Investigators. Cathet Cardiovasc Diagn 45:386-393, 1998.

13.

13. Kasirajan K , Gray B , Beavers FP , et al: Rheolytic thrombectomy in the management of acute and subacute limb-threatening ischemia. J Vasc Interv Radiol 12:413-421, 2001.

New Techniques For Percutaneous Mechanical Thrombolysis

Abstract

Keywords

Get full access to this article

References