Catheter Directed Thrombolysis Through Three Different Approaches Combined with Iliac Venous Endovascular Therapy for Acute Deep Venous Thrombosis Complicated with Cockett Syndrome of Lower Extremities_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LUHui-jun , LIUHui , YUANYe , MABing-bing , ZHANGMi , HUYa-li , ZHAOYi

Department of Vascular Surgery, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi 214023, Jiangsu Province, China;

Corresponding author：

LUHui-jun, Email: lhj9696@sina.com

Keywords：

Cannulation approach; Catheter directed thrombolysis; Cockett syndrome; Deep venous thrombosis; Endovascular therapy

DOI：

10.7507/1007-9424.20150158

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the clinical efficacy of catheter directed thrombolysis (CDT) through three different approaches combined with iliac venous endovascular therapy for acute deep venous thrombosis (DVT) complicated with Cockett syndrome of the lower extremities. Method The clinical data of 87 patients with CDT through three different approaches (small saphenous vein group, popliteal vein group, and posterior tibial vein group) combined with iliac venous endovascular therapy for DVT complicated with Cockett syndrome of the lower extremities were analyzed retrospectively. Results The lower extremity swelling of all the patients were disappeared obviously within 72 h after surgery, there was no death related surgery and pulmonary embolism. The limb edema reduction rates had no significant differences among the small saphenous vein group, popliteal vein group, and posterior tibial vein group﹝(77±13)% versus (82±12)% versus (77±18)%, P > 0.05﹞. The recanalization rates of thrombolysis had no significant differences among the above three groups﹝(86.5±10.6)% versus (92.0±7.7)% versus (87.3±7.8)%, P > 0.05﹞. The time required for the cannulation in the posterior tibial vein group was significantly shorter than that of the small saphenous vein group or popliteal vein group﹝(15.14±3.62) min versus (32.62±9.36) min or (42.79±13.30) min, P < 0.01﹞. All the patients were performed by balloon dilatation and iliac vein stenting. Eighty-seven cases were followed-up for 1-24 months, the primary patency rate of iliac venous was 100%. Conclusions CDT with iliac venous endovascular therapy is an effective method in treatment of acute DVT with Cockett syndrome. CDT through posterior tibial vein is an easier and effective method with less complications and time. This way could be acceptable in basal hospital.

Citation： LUHui-jun, LIUHui, YUANYe, MABing-bing, ZHANGMi, HUYa-li, ZHAOYi. Catheter Directed Thrombolysis Through Three Different Approaches Combined with Iliac Venous Endovascular Therapy for Acute Deep Venous Thrombosis Complicated with Cockett Syndrome of Lower Extremities. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(5): 605-609. doi: 10.7507/1007-9424.20150158 Copy

1.	Comerota AJ, Kamath V. Thrombolysis for iliofemoral deep venous thrombosis. Expert Rev Cardiovasc Ther, 2013, 11(12):1631-1638.
2.	李晓强, 段鹏飞, 钱爱民, 等.介入联合手术治疗急性下肢深静脉血栓形成.中华普通外科杂志, 2006, 21(9):660-661.
3.	Haig Y, Enden T, Slagsvold CE, et al. Determinants of early and long-term efficacy of catheter-directed thrombolysis in proximal deep vein thrombosis. J Vasc Interv Radiol, 2013, 24(1):17-24.
4.	段鹏飞, 肖璋生, 李晓强.导管溶栓联合髂静脉介入治疗急性下肢深静脉血栓形成.中华普通外科杂志, 2012, 27(3):193-196.
5.	Porter JM, Moneta GL. Reporting standards in venous disease:an update. International Consensus Committee on Chronic Venous Disease. J Vasc Surg, 1995, 21(4):635-645.
6.	Meng QY, Li XQ, Jiang K, et al. Stenting of iliac vein obstruction following catheter-directed thrombolysis in lower extremity deep vein thrombosis. Chin Med J, 2013, 126(18):3519-3522.
7.	董典宁, 张十一, 金星, 等.腘静脉置管溶栓联合髂静脉支架治疗髂股静脉血栓.中国实用外科杂志, 2007, 27(3):232-234.
8.	Greenfield LJ, Michna BA. Twelve-year clinical experience with the Greenfield vena caval filter. Surgery, 1988, 104(4):706-712.
9.	Hye RJ, Turner C, Valji K, et al. Is thrombolysis of occluded popliteal and tibial bypass grafts worthwhile? J Vasc Surg, 1994, 20(4):588-596.
10.	杨冬山, 李学锋, 刘汝海, 等.下肢深静脉血栓取栓术后复发与Cockett综合征的关系.中国普通外科杂志, 2007, 16(6):539-541.
11.	顾建平, 楼文胜, 何旭, 等.髂静脉受压综合征及继发血栓形成的介人治疗.中华放射学杂志, 2008, 42(8):821-825.
12.	叶志东, 樊雪强, 王非, 等.腔内治疗髂静脉梗阻合并急性深静脉血栓的临床经验.中国微创外科杂志, 2012, 12(4):344-346.
13.	刘鹏, 王豪夫, 王曰伟.髂静脉受压综合征并下肢深静脉血栓形成的治疗探讨.齐鲁医学杂志, 2008, 23(3):262-264.
14.	崔艳峰, 徐浩, 祖茂衡, 等.左髂静脉受压综合征并发下肢深静脉血栓形成的综合介入治疗.介入放射学杂志, 2010, 19(8):602-606.
15.	张希全, 崔佳佳, 王义平, 等.髂静脉受压综合征并下肢深静脉血栓形成的综合性腔内治疗.中国普通外科杂志, 2014, 23(6):785-790.
16.	张精勇, 金星, 吴学君, 等.滤器保护下置管溶栓治疗下肢深静脉血栓形成临床总结.中国实用外科杂志, 2006, 26(10):774-776.
17.	李大林, 陈允惠, 颜京强, 等.急性下肢深静脉血栓的介入治疗.临床普外科电子杂志, 2013, 1(1):44-46, 43.
18.	李德卫, 赵渝, 时德.髂静脉受压综合征的诊治.中国普通外科杂志, 2002, 11(7):435-437.
19.	李长海, 张希全, 朱伟, 等.急性混合型下肢深静脉血栓综合介入治疗与系统溶栓疗效的比较.中国普通外科杂志, 2013, 22(12):1595-1599.
20.	王曰伟, 王豪夫, 戚森, 等.腔静脉滤器联合导管接触性溶栓治疗静脉血栓栓塞症临床分析.中国血管外科杂志:电子版, 2013, 5(1):38-40.
21.	赵渝, 李德卫, 时德, 等.髂静脉受压综合征的解剖基础.中国实用外科杂志, 2003, 23(12):745-746.
22.	赵军, 董国祥.左髂总静脉狭窄与急性下肢深静脉血栓形成.中华外科杂志, 1998, 36(1):12-14.
23.	张希全, 王义平, 朱伟, 等.微创治疗髂静脉闭塞合并下肢深静脉血栓形成.中国介入影像与治疗学, 2012, 9(12):843-846.
24.	张文广, 李震, 韩新巍, 等.经导管接触溶栓与单纯静脉药物溶栓治疗下肢深静脉血栓的对比分析.中国普外基础与临床杂志, 2012, 19(11):1171-1174.

1. Comerota AJ, Kamath V. Thrombolysis for iliofemoral deep venous thrombosis. Expert Rev Cardiovasc Ther, 2013, 11(12):1631-1638.
2. 李晓强, 段鹏飞, 钱爱民, 等.介入联合手术治疗急性下肢深静脉血栓形成.中华普通外科杂志, 2006, 21(9):660-661.
3. Haig Y, Enden T, Slagsvold CE, et al. Determinants of early and long-term efficacy of catheter-directed thrombolysis in proximal deep vein thrombosis. J Vasc Interv Radiol, 2013, 24(1):17-24.
4. 段鹏飞, 肖璋生, 李晓强.导管溶栓联合髂静脉介入治疗急性下肢深静脉血栓形成.中华普通外科杂志, 2012, 27(3):193-196.
5. Porter JM, Moneta GL. Reporting standards in venous disease:an update. International Consensus Committee on Chronic Venous Disease. J Vasc Surg, 1995, 21(4):635-645.
6. Meng QY, Li XQ, Jiang K, et al. Stenting of iliac vein obstruction following catheter-directed thrombolysis in lower extremity deep vein thrombosis. Chin Med J, 2013, 126(18):3519-3522.
7. 董典宁, 张十一, 金星, 等.腘静脉置管溶栓联合髂静脉支架治疗髂股静脉血栓.中国实用外科杂志, 2007, 27(3):232-234.
8. Greenfield LJ, Michna BA. Twelve-year clinical experience with the Greenfield vena caval filter. Surgery, 1988, 104(4):706-712.
9. Hye RJ, Turner C, Valji K, et al. Is thrombolysis of occluded popliteal and tibial bypass grafts worthwhile? J Vasc Surg, 1994, 20(4):588-596.
10. 杨冬山, 李学锋, 刘汝海, 等.下肢深静脉血栓取栓术后复发与Cockett综合征的关系.中国普通外科杂志, 2007, 16(6):539-541.
11. 顾建平, 楼文胜, 何旭, 等.髂静脉受压综合征及继发血栓形成的介人治疗.中华放射学杂志, 2008, 42(8):821-825.
12. 叶志东, 樊雪强, 王非, 等.腔内治疗髂静脉梗阻合并急性深静脉血栓的临床经验.中国微创外科杂志, 2012, 12(4):344-346.
13. 刘鹏, 王豪夫, 王曰伟.髂静脉受压综合征并下肢深静脉血栓形成的治疗探讨.齐鲁医学杂志, 2008, 23(3):262-264.
14. 崔艳峰, 徐浩, 祖茂衡, 等.左髂静脉受压综合征并发下肢深静脉血栓形成的综合介入治疗.介入放射学杂志, 2010, 19(8):602-606.
15. 张希全, 崔佳佳, 王义平, 等.髂静脉受压综合征并下肢深静脉血栓形成的综合性腔内治疗.中国普通外科杂志, 2014, 23(6):785-790.
16. 张精勇, 金星, 吴学君, 等.滤器保护下置管溶栓治疗下肢深静脉血栓形成临床总结.中国实用外科杂志, 2006, 26(10):774-776.
17. 李大林, 陈允惠, 颜京强, 等.急性下肢深静脉血栓的介入治疗.临床普外科电子杂志, 2013, 1(1):44-46, 43.
18. 李德卫, 赵渝, 时德.髂静脉受压综合征的诊治.中国普通外科杂志, 2002, 11(7):435-437.
19. 李长海, 张希全, 朱伟, 等.急性混合型下肢深静脉血栓综合介入治疗与系统溶栓疗效的比较.中国普通外科杂志, 2013, 22(12):1595-1599.
20. 王曰伟, 王豪夫, 戚森, 等.腔静脉滤器联合导管接触性溶栓治疗静脉血栓栓塞症临床分析.中国血管外科杂志:电子版, 2013, 5(1):38-40.
21. 赵渝, 李德卫, 时德, 等.髂静脉受压综合征的解剖基础.中国实用外科杂志, 2003, 23(12):745-746.
22. 赵军, 董国祥.左髂总静脉狭窄与急性下肢深静脉血栓形成.中华外科杂志, 1998, 36(1):12-14.
23. 张希全, 王义平, 朱伟, 等.微创治疗髂静脉闭塞合并下肢深静脉血栓形成.中国介入影像与治疗学, 2012, 9(12):843-846.
24. 张文广, 李震, 韩新巍, 等.经导管接触溶栓与单纯静脉药物溶栓治疗下肢深静脉血栓的对比分析.中国普外基础与临床杂志, 2012, 19(11):1171-1174.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Catheter Directed Thrombolysis Through Three Different Approaches Combined with Iliac Venous Endovascular Therapy for Acute Deep Venous Thrombosis Complicated with Cockett Syndrome of Lower Extremities

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content