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Thrombolysis, Angioplasty, and Stenting

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Chronic Venous Insufficiency

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Abstract

As seen in the preceding chapters, modern improvements in the management of venous disease have originated through medical, rehabilitative and surgical innovations. From a radiological perspective, emergence of duplex ultrasound as a reliable method of evaluating the structure and function of the venous system has significantly enhanced our understanding of the pathophysiology of chronic venous insufficiency (CVI). Simultaneous advances in the interventional radiological management of arterial occlusive disease have created the theoretical foundation and technology supportive of a new approach to the prevention and treatment of venous disease: combined endovascular therapy using regional thrombolysis, balloon venoplasty and endovascular stent placement. While the results of long-term, controlled trials are not yet available, it has become increasingly clear that these percutaneous techniques have the potential to translate recent pathophysiological revelations into tangible clinical benefits.

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References

  1. Goldhaber SZ. Venous thrombosis: prevention, treatment, and relationship to paradoxical embolism. Cardiol Clin 1994; 12:505–16

    PubMed  CAS  Google Scholar 

  2. Barritt DW, Jordan SC. Anticoagulant drugs in the treatment of pulmonary embolism: a controlled clinical trial. Lancet 1960; 1:1309–12

    Article  PubMed  CAS  Google Scholar 

  3. Strandness DE, Langlois Y, Cramer M et al. Long-term sequelae of acute venous thrombosis. JAMA 1983; 250:1289–92

    Article  PubMed  Google Scholar 

  4. O’Donnell TF, Browse NL, Burnand KG et al. The socioeconomic effects of an iliofemoral venous thrombosis. J Surg Res 1977; 22:483–8

    Article  PubMed  Google Scholar 

  5. Van Ramshorst B, Van Bemmelen PS, Hoeneveld H,et al. Thrombus regression in deep venous thrombosis: quantification of spontaneous thrombolysis with duplex scanning. Circulation 1992; 86:414–19

    Article  PubMed  Google Scholar 

  6. Markel A, Manzo RA, Bergelin RO et al. Valvular reflux after deep vein thrombosis: incidence and time of occurrence. J Vasc Surg 1992; 15:377–84

    Article  PubMed  CAS  Google Scholar 

  7. Caps MT, Manzo RA, Bergelin RO et al. Venous valvular reflux in veins not involved at the time of acute deep vein thrombosis. J Vasc Surg 1995; 22:524–31

    Article  PubMed  CAS  Google Scholar 

  8. Meissner MH, Manzo RA, Bergelin RO et al. Deep venous insufficiency: the relationship between lysis and subsequent reflux. J Vasc Surg 1993; 18:596–608

    Article  PubMed  CAS  Google Scholar 

  9. Meissner MH, Caps MT, Bergelin RO et al. Propagation, rethrombosis, and new thrombus formation after acute deep venous thrombosis. J Vasc Surg 1995; 22:558–67

    Article  PubMed  CAS  Google Scholar 

  10. Sherry S. Thrombolytic therapy for deep vein thrombosis. Semin Intervent Radiol 1985; 4:331–7

    Google Scholar 

  11. Comerota AJ, Aldridge SC. Thrombolytic therapy for deep venous thrombosis: a clinical review. Can J Surg 1993; 36:359–64

    PubMed  CAS  Google Scholar 

  12. Killewich LA, Bedford GR, Beach KW et al. Spontaneous lysis of deep venous thrombi: rate and outcome. J Vasc Surg 1989; 9:89–97

    PubMed  CAS  Google Scholar 

  13. Comerota AJ, Cohen G. Thrombolytic therapy in peripheral arterial occlusive disease: mechanisms of action and drugs available. Can J Surg 1993; 36:342–8

    PubMed  CAS  Google Scholar 

  14. Graor RA, Young JR, Risius B et al. Comparison of cost-effectiveness of streptokinase and urokinase in the treatment of deep vein thrombosis. Ann Vasc Surg 1987; 1:524–8

    Article  PubMed  CAS  Google Scholar 

  15. Goldhaber SZ, Meyerovitz MF, Green D et al. Randomized controlled trial of tissue plasminogen activator in proximal deep vein thrombosis. Am J Med 1990; 88:235–40

    Article  PubMed  CAS  Google Scholar 

  16. Goldhaber SZ, Buring JE, Lipnick RJ et al. Pooled analyses of randomized trials of streptokinase and heparin in phlebographically documented acute deep vein thrombosis. Am J Med 1984; 76:393–7

    Article  PubMed  CAS  Google Scholar 

  17. Comerota AJ, Aldridge S. Thrombolytic therapy for acute deep vein thrombosis. Semin Vasc Surg 1992; 5:76–81

    Google Scholar 

  18. Theiss W, Wirtzfeld A, Fink U et al. The success rate of fibrinolytic therapy in fresh and old thrombosis of the iliac and femoral veins. Angiology 1983; 34:61–9

    Article  PubMed  CAS  Google Scholar 

  19. Hill SL, Mortin D, Evans P. Massive venous thrombosis of the extremities. Am J Surg 1989; 158:131–5

    Article  PubMed  CAS  Google Scholar 

  20. Arnesen H, Hoiseth A, Ly B. Streptokinase or heparin in the treatment of deep vein thrombosis. Acta Med Stand 1982; 211:65–8

    Article  CAS  Google Scholar 

  21. O’Meara JJ, McNutt RA, Evans AT et al. A decision analysis of streptokinase plus heparin as compared with heparin alone for deep-vein thrombosis. N Engl J Med 1994; 330:1864–9

    Article  PubMed  Google Scholar 

  22. Becker GJ, Rabe FE, Richmond BD et al. Low-dose fibrinolytic therapy: results and new concepts. Radiology 1983; 148:663–70

    PubMed  CAS  Google Scholar 

  23. Okrent D, Messersmith R, Buckman J. Transcatheter fibrinolytic therapy and angioplasty for left iliofemoral venous thrombosis. J Vasc Intervent Radiol 1991; 2:195–200

    Article  CAS  Google Scholar 

  24. Molina JE, Hunter DW, Yedlicka JW. Thrombolytic therapy for iliofemoral venouos thrombosis. Vasc Surg 1992; 26:630–7

    Article  Google Scholar 

  25. Semba CP, Dake MD. Iliofemoral deep venous thrombosis: aggressive therapy with catheter-directed thrombolysis. Radiology 1994; 191:487–94

    PubMed  CAS  Google Scholar 

  26. Bjarnason H, Kruse JR, Asinger DA et al. Iliofemoral deep venous thrombosis: safety and efficacy outcome during 5 years of catheter-directed thrombolytic therapy. J Vasc Intervent Radiol 1997; 8:405–18

    Article  CAS  Google Scholar 

  27. Cragg AH. Lower extremity deep venous thrombolysis: a new approach to obtaining access. J Vasc Intervent Radiol 1996; 7:283–8

    Article  CAS  Google Scholar 

  28. Cope C, Baum RA, Duszak RA. Temporary use of a bird’s nest filter during iliocaval thrombolysis. Radiology 1996; 198:765–7

    PubMed  CAS  Google Scholar 

  29. Ferris EJ, Lim WN, Smith PL et al. May-Thurner syndrome. Radiology 1983; 147:29–31

    PubMed  CAS  Google Scholar 

  30. Masuda EM, Kistner RL. Long-term results of venous valve reconstruction: a four-to twenty-one-year follow-up. J Vasc Surg 1994; 19:391–403

    Article  PubMed  CAS  Google Scholar 

  31. Weaver FA, Meacham PW, Adkins RB et al. Phlegmasia cerulea dolens: therapeutic considerations. South Med J 1988; 81:306–12

    Article  PubMed  CAS  Google Scholar 

  32. Robinson DL, Teitelbaum GP. Phlegmasia cerulea dolens: treatment by pulse-spray and infusion thrombolysis. Am J Radiol 1993; 160:1288–90

    CAS  Google Scholar 

  33. Nazarian GK, Bjarnason H, Dietz CA et al. Iliofemoral venous stenoses: effectiveness of treatment with metallic endovascular stents. Radiology 1996; 200:193–9

    PubMed  CAS  Google Scholar 

  34. Marache P, Asseman P, Jabinet JL et al. Percutaneous transluminal venous angioplasty in occlusive iliac vein thrombus resistant to thrombolysis. Am Heart J 1993; 125:362–6

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. Michael D. Dake
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  2. Suresh Vedantham
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Editor information

Editors and Affiliations

  1. Division of Vascular Surgery, Loma Linda University Medical Center, 11175 Campus St, RM#21123, Loma Linda, California, CA, 92354, USA

    Jeffrey L. Ballard MD, FACS

  2. North Coast Surgeons, 9850 Genessee Avenue, Suite 560, La Jolla, California, CA, 92037, USA

    John J. Bergan MD FACS

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© 2000 Springer-Verlag London

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Dake, M.D., Vedantham, S. (2000). Thrombolysis, Angioplasty, and Stenting. In: Ballard, J.L., Bergan, J.J. (eds) Chronic Venous Insufficiency. Springer, London. https://doi.org/10.1007/978-1-4471-0473-5_16

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  • DOI: https://doi.org/10.1007/978-1-4471-0473-5_16

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1149-8

  • Online ISBN: 978-1-4471-0473-5

  • eBook Packages: Springer Book Archive

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