摘要
Abstract
Objective To compare the safety and tiveness of AngioJet rheolytic thrombectomy(ART)and aspiration thrombectomy(AT)combined with catheterdirected thrombolysis(CDT)in the treatment of early mass inferior vena cava filter-associated thrombosis(IVCFT).Methods A total of 63 patients with IVCFT detected during inferior vena cava filter extraction in Wenzhou Central Hospital from September 2017 to September 2023 were selected as the subject and divided into ART group(n=26)and AT+CDT group(n=37)according to different treatment methods.IVCFT was treated with ART in ART group,IVCFT was treated with AT combined with CDT in AT+CDT group.The removal rate of inferior vena cava filter,changes in hemoglobin level,incidence of related complications and the occurrence of post-thrombotic syndrome(PTS)during follow-up were compared between two groups.Results The filter was all successfully removed in ART group,while 2 patient in AT+CDT group the filter was not removed.There were 12 cases of hemoglobinuria in ART group and 8 cases of hematoma around the blood vessel sheath in AT+CDT group.No significant organ bleeding,pulmonary embolism,or inferior vena cava injury occurred in two groups.Within 1 year of follow-up,1 case occurred PTS in AT+CDT group.Conclusion ART and AT combined with CDT are safe and effective in the treatment of early mass IVCFT.Compared with AT combined with CDT,ART has a considerable clinical effect,which can reduce the thrombus load of inferior vena cava filter,increase the extraction rate of inferior vena cava filter,and reduce the incidence of long-term PTS.关键词
下腔静脉滤器血栓形成/AngioJet/导管吸栓/导管接触性溶栓Key words
Inferior vena cava filter-associated thrombosis/AngioJet/Aspiration thrombectomy/Catheterdirected thrombolysis分类
临床医学
