CardioVascular and Interventional Radiology

, Volume 24, Issue 1, pp 42–48

Mechanical thrombectomy in patients with deep venous thrombosis

  • Maxence Delomez
  • Jean-Paul Beregi
  • Serge Willoteaux
  • Jean-Jacques Bauchart
  • Bertrand Janne d’Othée
  • Philippe Asseman
  • Nessim Perez
  • Claude Théry
Clinical Investigations

DOI: 10.1007/s002700001658

Cite this article as:
Delomez, M., Beregi, JP., Willoteaux, S. et al. Cardiovasc Intervent Radiol (2001) 24: 42. doi:10.1007/s002700001658

Abstract

Purpose: To report our experience with mechanical thrombectomy in proximal deep vein thrombosis (DVT).

Methods: Eighteen patients with a mean (±SD) age of 37.6±16.1 years who presented with DVT in the iliac and femoral vein (n=3), inferior vena cava (n=5), or inferior vena cava and iliac vein (n=10), were treated with the Amplatz Thrombectomy Device after insertion of a temporary caval filter.

Results: Successful recanalization was achieved in 15 of 18 patients (83%). Overall, the percentage of thrombus removed was 66±29%: 73±30% at caval level and 55±36% at iliofemoral level. Complementary interventions (seven patients) were balloon angioplasty (n=2), angioplasty and stenting (n=2), thrombo-aspiration alone (n=1), thrombo-aspiration, balloon angioplasty, and permanent filter (n=1), and permanent filter alone (n=1). There was one in-hospital death. Follow-up was obtained at a mean of 29.6 months; three patients had died (two cancers, one myocardial infarction); 10 had no or minimal sequelae; one had post-phlebitic limb.

Conclusion: Mechanical thrombectomy is a potential therapeutic option in patients presenting with proximal DVT.

Key words

Thrombectomy Deep vein thrombosis Pulmonary embolism 

Copyright information

© Springer-Verlag New York, Inc 2001

Authors and Affiliations

  • Maxence Delomez
    • 1
  • Jean-Paul Beregi
    • 2
  • Serge Willoteaux
    • 2
  • Jean-Jacques Bauchart
    • 1
  • Bertrand Janne d’Othée
    • 2
  • Philippe Asseman
    • 1
  • Nessim Perez
    • 2
  • Claude Théry
    • 1
  1. 1.Intensive Care Unit, Hôpital CardiologiqueBoulevard du Professeur LeclerqLille CedexFrance
  2. 2.Department of Vascular Radiology, Hôpital CardiologiqueBoulevard du Professeur LeclercqLille CedexFrance