Abstract
In proximal deep vein thrombosis, thrombolytic treatment is more effective than heparin from a recanalization point of view but with a failure rate of 20%. We describe an interventional therapeutic procedure that may be effective in these cases. Mechanical thrombolysis with the thrombolizer (Angiocor, Lille Hellemmes, France) has been tried in 2 cases of deep vein thrombosis, when systemic thrombolysis alone had failed.
This is a preview of subscription content, log in via an institution to check access.
References
Da Silva A, Widmer LK, Martin H, Mall T, Glaus L, Schneider M (1974) Varicose and chronic venous insufficiency. Vasa 3:118–125
O'Donnel TF, Browse NL, Burnand KG, Thomas ML (1977) The socioeconomic effects of an ilio-femoral thrombosis. J Surg Res 22:483–488
Goldhaber SZ, Buring IE, Lipnick RJ, Hennekens CH (1984) Pooled analysis of randomized trials of streptokinase and heparin in phlebographically documented acute deep venous thrombosis. Am J Med 76:393–397
Arnesen J, Hoiseth A, Ly B (1982) Streptokinase or heparin in the treatment of deep vein thrombosis. Acta Med Scand 211:65–68
Thery C, Bauchart JJ, Lesenne M (1992) Predictive factors of effectiveness of streptokinase in deep venous thrombosis. Am J Cardiol 69:117–122
Meyerovitz MF, Polak JF, Golhaber SZ (1992) Response to thrombolytic therapy in leg deep vein thrombosis: predictive value of venographic appearance. JCVIR April: 155–156
Bildsoe MC, Moradian GP, Hunter DW, Amplatz K (1989) Mechanical clot dissolution: new concept. Radiology 171:231–233
Quilliet L (1993) Résultats préliminaires sur le thrombolyseur angiocor dans l'embolie pulmonaire massive et les thromboses veineuses proximales. Phlébologie 46:467–470
Marache P, Asseman P, Thery C (1993) Percutaneous transluminal venous angioplasty in occlusive iliac vein thrombosis resistant to thrombolysis. Am Heart J 125:362–366
Diévart F, Fourrier JL, Lefebvre JM, Everaere S, Quillet L, Gomez J (1994) Treatment of severe deep venous thrombosis in humans by means of a high speed rotational catheter: first experience of mechanical thrombolysis in peripheral veins. JACC February:95A
Fourrier JL, Lefebvre JM, Gomez J, Diévart F, Quillet L, Raynaud P (1993) Mechanical thrombolysis of severe pulmonary embolism in humans by means of a high speed rotational catheter. Circulation 99:1–7
Diévart F, Fourrier JL, Lefebvre JM, Everaere S, Quillet L, Gomez J (1994) Treatment of severe pulmonary embolism by means of high speed rotational catheter: first experience of mechanical thrombolysis in humans. JACC February: 474A
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Moughabghab, A., Socolovsky, C., Lemaitre, R.M. et al. Treatment of an ilio-caval thrombosis by mechanical thrombolysis. Intensive Care Med 21, 440–442 (1995). https://doi.org/10.1007/BF01707414
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01707414