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Abstract:

Aim: was to evaluate immediate and long-term results of using the catheter-directed thrombosis (CDT) in patients with acute iliofemoral thrombosis.

Materials and methods: the study included 26 patients (9 men and 17 women aged 31-70) with primary or iliofemoral thrombosis, which was made by CDT Assessment of immediate results was conducted and long-term results were tracked after 12 months.

Results: technical success of treatment was achieved in 22 (84,6%) patients. In 7 (26.9%) patients after the completion of CDT, hemodynamically significant stenoses were identified and addition stenting of iliac veins were performed. Preservation of primary permeability after 12 months was observed in 26 patients (96.2%). The presence of pathological venous reflux was observed in 6(23.1%) cases. Development of post-thrombotic disease (PTD) of mild and medium severity was observed in 7 (26.9%) patients.

Conclusion: catheter-directed thrombolysis in combination with traditional anticoagulant therapy is a safe and effective method of treatment in patients with acute iliofemoral thrombosis, and allows quickly to restore venous patency and also to reduce risk of development and severity of clinical manifestation of PTD.

 

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