Objective
One in four patients with primary iliofemoral deep vein thrombosis (DVT) develops post-thrombotic syndrome (PTS) within 1 year despite optimal standard tripletherapy (anticoagulation, compression and mobilisation). Removal of thrombus by thrombolytic drugs and early anjioplasty may prevent PTS. Rapid clot dissolution by early catheter-directed thrombolysis (CDT) before the onset of valvular damage is suggested to be a way to prevent the development of PTS. This study assessed development of PTS and its effect on poor quality of life among patients treated for iliofemoral venous thrombosis by catheter-directed thrombolysis.
Material-Method
A retrospective analysis was conducted in 24 patients (9 women, 15 men, age range 29-87 years, mean 55 years) who had acute iliofemoral thrombosis (≤15 days) and were treated by CDT and stenting between november 2012 and october 2014. Filters were implanted in those patients with inferior caval vein thrombosis, The patency, both thigh and calf limb circumferences, and complications were assessed before and after CDT and stenting. A Duplex ultrasound was used to perform follow-up examinations at 1 month, 6 months, 1 year after the operation.
Material-Method
A retrospective analysis was conducted in 24 patients (9 women, 15 men, age range 29-87 years, mean 55 years) who had acute iliofemoral thrombosis (≤15 days) and were treated by CDT and stenting between november 2012 and october 2014. Filters were implanted in those patients with inferior caval vein thrombosis, The patency, both thigh and calf limb circumferences, and complications were assessed before and after CDT and stenting. A Duplex ultrasound was used to perform follow-up examinations at 1 month, 6 months, 1 year after the operation.
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