Pharmacomechanical thrombolysis with a rotator thrombolysis device in iliofemoral deep venous thrombosis.
OBJECTIVE
Deep venous thrombosis (DVT) is a life-threatening and morbid pathology. This study aimed to investigate the efficacy of an early thrombolysis procedure using a rotator thrombolysis device.


METHODS
Sixty-seven patients with acute proximal DVT were enrolled in the study. Patients' data were recorded retrospectively. Initially, an infrarenal retrievable vena cava filter was placed through the femoral vein. Then, a rotator thrombolysis device and a thrombolytic agent injection were applied to the occluded segments of the deep veins by puncturing the popliteal vein.


RESULTS
The identified reasons were trauma (43.3%), pregnancy (20.9%), undiagnosed (11.9%), major surgical operation (10.5%), immobilization (7.5%), and malignancy (5.9%). Immediate total recanalization was conducted in all patients, and the leg diameters returned to normal ranges in the early postoperative period. Hospital mortality or severe complications were not detected.


CONCLUSIONS
New thrombolytic devices seem to reduce in-hospital mortality risks and may potentially decrease post-thrombotic morbidity.
Faculty of Medicine, Department of Cardiovascular Surgery, Dicle University, Diyarbakir, Turkey oguzk2002@gmail.com.
Oguz
O
Karahan
Diyarbakır Training and Research Hospital, Department of Cardiovascular Surgery, Diyarbakir, Turkey.
H Barıs
HB
Kutas
Medical School of Balıkesir University, Department of Cardiovascular Surgery, Balıkesir, Turkey.
Orcun
O
Gurbuz
Faculty of Medicine, Department of Cardiovascular Surgery, Dicle University, Diyarbakir, Turkey.
Orhan
O
Tezcan
Faculty of Medicine, Department of Cardiovascular Surgery, Dicle University, Diyarbakir, Turkey.
Ahmet
A
Caliskan
Faculty of Medicine, Department of Cardiovascular Surgery, Dicle University, Diyarbakir, Turkey.
Celal
C
Yavuz
Faculty of Medicine, Department of Cardiovascular Surgery, Dicle University, Diyarbakir, Turkey.
Sinan
S
Demirtas
Faculty of Medicine, Department of Cardiovascular Surgery, Dicle University, Diyarbakir, Turkey.
Binali
B
Mavitas
D000328:Adult; D003430:Cross-Sectional Studies; D004867:Equipment Design; D005260:Female; D005268:Femoral Vein / Q000000981:diagnostic imaging; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D017052:Hospital Mortality; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D007275:Injections, Intravenous; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D011152:Popliteal Vein; D011677:Punctures; D012189:Retrospective Studies; D012307:Risk Factors; D015912:Thrombolytic Therapy / Q000009:adverse effects / Q000295:instrumentation* / Q000401:mortality; D013997:Time Factors; D016896:Treatment Outcome; D016306:Vena Cava Filters; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology / Q000401:mortality; D055815:Young Adult
D005343:Fibrinolytic Agents
Deep venous thrombosis; outcomes; rotator thrombolytic device; treatment