Utility of retrievable vena cava filters and mechanical thrombectomy in the endovascular management of acute deep venous thrombosis.
Endovascular interventions of symptomatic deep venous thrombosis (DVT) using various therapeutic modalities, such as thrombolysis, mechanical thrombectomy, and inferior vena cava (IVC) filter placement, have received increased focus owing in part to advances in catheter-based interventional technologies. Although systemic anticoagulation remains the primary treatment modality in DVT, catheter-based interventions can provide rapid removal of large thrombus burden and possibly preserve venous valvular function in patients with symptomatic DVT. This article reviews current endovascular treatment strategies for acute DVT. Specifically, the utility of mechanical thrombectomy along with various temporary IVC filters in the setting of DVT is examined. Lastly, an illustrative case of acute DVT that was treated with endovascular intervention with IVC filter placement is presented.
El Sayed
Hosam F
HF
Division of Vascualr and Endovascular Therapy, Micheal E. DeBakey Department of Surgery, Baylor College of Medicine, Micheal E. DeBakey VA Medical Center, Houston, TX 77030, USA.
Kougias
Panos
P
Zhou
Wei
W
Lin
Peter H
PH
D000208:Acute Disease; D020878:Device Removal / Q000379:methods; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D017131:Thrombectomy / Q000379:methods*; D016306:Vena Cava Filters; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*