The efficacy of rotational pharmaco-mechanical thrombectomy in patients with acute iliofemoral deep vein thrombosis: Is the standard treatment of deep vein thrombosis changing?

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dc.authorid0000-0001-9338-8152
dc.authorid0000-0001-9919-8392
dc.authorid0000-0001-6643-9364
dc.contributor.authorRodoplu, Orhan
dc.contributor.authorYıldız, Cenk Eray
dc.contributor.authorÖztaş, Didem Melis
dc.contributor.authorBeyaz, Metin Onur
dc.contributor.authorUlukan, Mustafa Özer
dc.contributor.authorÜnal, Orçun
dc.contributor.authorConkbayır, Cenk
dc.contributor.authorUğurlucan, Murat
dc.date.accessioned2021-03-11T06:19:12Z
dc.date.available2021-03-11T06:19:12Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.description.abstractObjectiveIn this study, we aimed to evaluate the efficiency of rotational thrombectomy device in pharmaco-mechanical thrombolysis for symptomatic acute ilio-femoral deep vein thrombosis.Materials and methodsBetween August 2013 and May 2018,82 patients with acute deep vein thrombosis comprising the iliofemoral segment whom underwent Pharmaco-mechanical thrombolysis were evaluated retrospectively. The Cleaner thrombectomy device was used. The resolution of thrombi was examined and graded. Development of post-thrombotic syndrome was assessed with Villalta scores.Results75 patients (91.4%) had complete thrombus resolution. Between 50-99% resolution was noted in 6 patients (7.4%) and in one (1.2%) case less than %50 thrombus resolution was obtained. Seventy-five patients (91%) of the cohort could be treated in a single session; 7 patients (8.6%) required reintervention(s). Although improved post-thrombotic syndrome rates were lower at the short term, Villalta scores gradually increased during follow up.ConclusionsIn conclusion, Pharmaco-mechanical thrombolysis with Cleaner thrombectomy device is a safe and beneficial method for the treatment of acute iliofemoral deep vein thrombosis. Long term follow up data of large volume multicenter studies are warranted.
dc.identifier.citationRodoplu, O., Yıldız, C. E., Öztaş, D. M., Beyaz, M. O., Ulukan, M. Ö., Ünal, O. ... Uğurlucan, M. (2021). The efficacy of rotational pharmaco-mechanical thrombectomy in patients with acute iliofemoral deep vein thrombosis: Is the standard treatment of deep vein thrombosis changing? Phlebology, 36(2), 119-126. https://dx.doi.org/10.1177/0268355520966880
dc.identifier.doi10.1177/0268355520966880
dc.identifier.endpage126
dc.identifier.issn0268-3555
dc.identifier.issn1758-1125
dc.identifier.issue2
dc.identifier.scopusqualityQ2
dc.identifier.startpage119
dc.identifier.urihttps://dx.doi.org/10.1177/0268355520966880
dc.identifier.urihttps://hdl.handle.net/20.500.12511/6607
dc.identifier.volume36
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSAGE Publications Ltd
dc.relation.ispartofPhlebologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectDeep Vein Thrombosis
dc.subjectPharmaco-Mechanical Thrombolysis
dc.subjectPost-Thrombotic Syndrome
dc.titleThe efficacy of rotational pharmaco-mechanical thrombectomy in patients with acute iliofemoral deep vein thrombosis: Is the standard treatment of deep vein thrombosis changing?
dc.typeArticle

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