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Pharmacomechanical thrombolysis in the management of acute inferior vena cava filter occlusion using the Trellis-8 device

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dc.contributor.author Branco, Bernardino C.
dc.contributor.author Montero-Baker, Miguel F.
dc.contributor.author Espinoza, Eduardo
dc.contributor.author Gamero, Maite
dc.contributor.author Zea, Rodrigo
dc.contributor.author Labropoulos, Nicos
dc.contributor.author Leon, Luis R. Jr
dc.date.accessioned 2019-02-06T14:52:39Z
dc.date.available 2019-02-06T14:52:39Z
dc.date.issued 2015
dc.identifier.uri https://hdl.handle.net/20.500.12866/5346
dc.description.abstract PURPOSE: To evaluate the performance and safety of the Trellis-8 system, a pharmacomechanical thrombolysis infusion catheter, and adjunctive therapies in the treatment of symptomatic inferior vena cava (IVC) filter-related acute thrombotic occlusion. METHODS: Eight consecutive patients (6 men; mean age 57.4 years, range 34-78 years) with acute thrombotic occlusion of the IVC in the presence of an IVC filter underwent percutaneous venous thrombectomy using the Trellis-8 thrombectomy system and adjunctive techniques between January 2009 and November 2013. Demographics, clinical data, procedures, and outcomes were retrospectively reviewed. All patients had clinical signs of lower extremity venous hypertension on presentation. The median time between IVC filter placement and occlusion was 25 months. Patients were followed for the development of thromboembolic complications to the last clinic visit or until they died. RESULTS: The procedure was technically successful in 6 patients, whereas it could not be performed in 2 due to failure to cross the occlusion. The median follow-up period was 7.8 months, at which time all patients undergoing successful Trellis-8 thrombectomy had relief of symptoms without thromboembolic or bleeding complications. CONCLUSION: In this limited performance and safety evaluation, the Trellis-8 thrombectomy system combined with adjunctive therapies, such as mechanical thrombectomy and balloon angioplasty, was effective in 75% of patients with IVC filter-related acute caval occlusion. en_US
dc.language.iso eng
dc.publisher SAGE Publications
dc.relation.ispartof urn:issn:1545-1550
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Follow-Up Studies en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Retrospective Studies en_US
dc.subject Aged en_US
dc.subject Middle Aged en_US
dc.subject Treatment Outcome en_US
dc.subject Risk Factors en_US
dc.subject occlusion en_US
dc.subject Acute Disease en_US
dc.subject Mechanical Thrombolysis en_US
dc.subject Thrombolytic Therapy/methods en_US
dc.subject Vena Cava, Inferior en_US
dc.subject Angioplasty, Balloon/methods en_US
dc.subject deep vein thrombosis en_US
dc.subject endovascular treatment en_US
dc.subject Fibrinolytic Agents/administration & dosage en_US
dc.subject inferior vena cava en_US
dc.subject IVC filter en_US
dc.subject pharmacomechanical thrombolysis en_US
dc.subject thrombectomy en_US
dc.subject thrombosis en_US
dc.subject Vena Cava Filters/adverse effects en_US
dc.subject Venous Thrombosis/diagnosis/etiology/therapy en_US
dc.title Pharmacomechanical thrombolysis in the management of acute inferior vena cava filter occlusion using the Trellis-8 device en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1177/1526602814564369
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE


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