Midterm follow-up after pharmacomechanical thrombolysis for lower extremity deep venous thrombosis.

Journal Article (Journal Article)

OBJECTIVE: To provide follow-up in patients treated with pharmacomechanical thrombolysis (PhMT) for lower extremity deep venous thrombosis (DVT). METHODS: Retrospective analysis of prospectively collected data. Patients underwent clinical evaluation, duplex ultrasound, venous clinical severity scoring, venous segmental disease scoring, and venous disability scoring. RESULTS: Fourteen patients were available for evaluation. Median age was 40 years (19-58). Median follow-up was 24 months (13-69 months). Thirteen of 14 patients (93%) had a venous disability score < 1 and 13 of 14 patients (93%) had a venous clinical severity scoring < 5. In all but 1 patient the venous segmental disease scoring score was < 5. All iliac segments were patent, all but 3 patients had partial infrainguinal obstruction and 5 of 14 (36%) had reflux. CONCLUSIONS: Our data demonstrate that the good early clinical results after PhMT can be sustained on longer follow-up and may prevent the development of advanced postthrombotic syndrome.

Full Text

Duke Authors

Cited Authors

  • Gasparis, AP; Labropoulos, N; Tassiopoulos, AK; Phillips, B; Pagan, J; Cheng Lo, ; Ricotta, J

Published Date

  • 2009

Published In

Volume / Issue

  • 43 / 1

Start / End Page

  • 61 - 68

PubMed ID

  • 18829583

International Standard Serial Number (ISSN)

  • 1538-5744

Digital Object Identifier (DOI)

  • 10.1177/1538574408323501


  • eng

Conference Location

  • United States