Endovascular Treatment of Thrombosis and Embolism


Goktay A. Y., Senturk C.

THROMBOSIS AND EMBOLISM: FROM RESEARCH TO CLINICAL PRACTICE, VOL 1, cilt.906, ss.195-213, 2017 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 906
  • Basım Tarihi: 2017
  • Doi Numarası: 10.1007/5584_2016_116
  • Dergi Adı: THROMBOSIS AND EMBOLISM: FROM RESEARCH TO CLINICAL PRACTICE, VOL 1
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.195-213
  • Anahtar Kelimeler: Endovascular, Deep venous thrombosis, Catheter, Thrombolysis, Thrombectomy, Stroke, Stent retrievers, Cerebral venous thrombosis, ACUTE ISCHEMIC-STROKE, CEREBRAL VENOUS THROMBOSIS, DEEP-VEIN-THROMBOSIS, DURAL SINUS THROMBOSIS, CATHETER-DIRECTED THROMBOLYSIS, INTRAVENOUS T-PA, PHARMACOMECHANICAL THROMBECTOMY, INTERVENTIONAL MANAGEMENT, THERAPY, SAFETY
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Deep venous thrombosis (DVT) is a common disorder with a significant mortality rate. Successful endovascular treatment of acute DVT is most likely to be achieved in patients with recently formed thrombus, (< 10-14 days) with acute iliofemoral DVT. Endovascular treatment options include: Catheter-directed thrombolysis (CDT), pharmacomechanical catheter-directed thrombolysis (PCDT), percutaneous aspiration thrombectomy (PAT), vena cava filter protection, venous balloon dilatation and venous stent implantation. Current practice shows strong clinical tendency for the use of PCDT with or without other endovascular methods and an individualized approach for each DVT patient. PMT has not received general acceptance because of the associated risk of PE and damage to venous valves caused by thrombectomy devices. PAT is most commonly used as an adjunctive endovascular technique like balloon maceration to fragment thrombus, balloon angioplasty, stent implantation and vena cava filter placement. Interventional endovascular therapies for DVT have the potential to provide PE protection and prevention of PTS. Patient centered individualized approach for endovascular DVT treatment is recommended to optimize the ideal clinical result. Acute stroke is the leading cause of death for people above the age of 60 and the fifth leading cause in people aged 15-59. Mortality during the first 30 days of ischemic stroke is 20 % and 30 % of survivors will remain permanently disabled.