血管医学および外科ジャーナル

概要

Symptomatic Deep Vein Thrombosis (DVT): Endovascular Combined Management

Vito Gallicchio1*, Flavia Condó1, Danilo Barbarisi1, Rosaria Sciarrillo2*, Loris Flora1

Endovascular Combined Approach (ECA) such as venoplasty, venous stenting, trombectomy and intravenous trombolysis are becoming the treatment of choice to achieve venous outflow in DVT. The primary goal of this treatment is the restoration of venous outflow and can be achieved by combined endovascular techniques. The ECA included four steps produceres: Positioning of Sentry Bioconvertible in Vena Cava Inferior (IVC) filter, Angiojet intravenous trombolisys, Angiojet intravenous trombectomy, and self-expanding nitinol stenting (Boston Vici Venous Stent System). The scheduled follow ups at 1,2,6 months there was no filter tilting, migration, perforation, embolization, fracture or filter related death. The stent was patent and was phasic with the actis of the breath. The combined used of surgical thrombectomy with direct intravenous thrombolytic infusion provided effective treatment of DVT and uncovered an underlying left common iliac vein stenosis, which was successfully managed by angioplasty and stenting.