Thrombectomy without lysis: the future?
The results of the CaVent-study and the expected results of the ATTRACT and CAVA trials will form the base of evidence to support that rapid cloth removal is beneficial for patients with iliofemoral DVT. Although beneficial, there are still significant risks associated with this therapy. Therefore alternative methods for rapid cloth removal without lysis are a potential valid alternative. In this article we describe the techniques currently available for thrombolysis and discuss the potential improvements to be made to clot removal techniques in the future.
Department of Vascular Surgery and Cardiovascular Research Institute Maastricht, Maastricht University Medical Centre, Maastricht, Limburg, The Netherlands rob.strijkers@gmail.com.
Rob Hw
RH
Strijkers
Department of Diagnostic and Interventional Radiology, Viecuri Medical Centre, Venlo, The Netherlands Department of Vascular Surgery, Maastricht University Medical Centre, The Netherlands.
Carsten Wkp
CW
Arnoldussen
Department of Vascular Surgery and Cardiovascular Research Institute Maastricht, Maastricht University Medical Centre, Maastricht, Limburg, The Netherlands Department of Vascular Surgery, University Hospital RWTH Aachen, Nordrhein-Westfalen, Pauwelsstraße 30, 52074 Aachen, Germany.
Cees Ha
CH
Wittens
Pharmaco-mechanical thrombolysis (PMT); Vein; catheter directed thrombolysis (CDT); post-thrombotic syndrome; thrombectomy; thrombosis