Back to Karmody Posters
A Novel Hybrid Approach to the Management of Extensive Deep Venous Thrombosis
Stuart L. Blackwood, MD, Biren Juthani, MD, Richard Hsu, MD, PhD.
Danbury Hospital, Danbury, CT, USA.
OBJECTIVES:
Strategies aiming to reduce clot burden and achieve early venous recanalization have been shown to reduce the incidence of post thrombotic syndrome. Use of the Esmarch bandage to extrude leg DVT during open thrombectomy has been previously described. We report our experience with 5 consecutive patients with deep venous thrombosis treated with pharmacomechanical thrombectomy and adjunctive clot extrusion from infrainguinal venous thrombus.
METHODS:
We performed a retrospective review of five patients who presented with extensive lower extremity DVT. These patients underwent Esmarch extrusion of the lower extremity DVT combined with pharmacomechanical thrombectomy and thrombolysis.
RESULTS:
Of the five patients studied using this novel hybrid approach, post-operative duplex at 1, and 3 months showed complete resolution in all iliofemoral and caval thrombi and near complete resolution of all infrainguinal DVT.
CONCLUSIONS:
Using the technique outlined it is possible to truly achieve near complete resolution of all leg DVT. This may translate to decreased long term complications from DVT.
Back to Karmody Posters
|
