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Date Published: 04/08/2021
Abstract Views: 205
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DOI: https://doi.org/10.51298/vmj.v503i2.787
Issue
Vol. 503 No. 2 (2021)
Section
Các bài báo
How to Cite
Phi Long, L. ., & Hoài Nam, N. . (2021). EARLY OUTCOMES OF SURGICAL TREATMENT IN PATIENTS WITH ACUTE LOWER EXTREMITY DEEP VENOUS THOMBOSIS. Vietnam Medical Journal, 503(2). https://doi.org/10.51298/vmj.v503i2.787

EARLY OUTCOMES OF SURGICAL TREATMENT IN PATIENTS WITH ACUTE LOWER EXTREMITY DEEP VENOUS THOMBOSIS

Lê Phi Long, Nguyễn Hoài Nam

Main Article Content

Abstract

Objectives: To evaluate the early outcomes in the treatment of acute lower extremity deep vein thrombosis in the University Medical Center at Ho Chi Minh City. Method: A prospective descriptive cases series study in the patients who had thrombosis at iliac-femoral vein from January 2016 to December 2020. Patients were divided into 2 groups: 65 patients were treated with surgical thrombectomy and 50 patients were treated with percutaneous catheter direct thrombolysis. Results: The mean age was 47.3 ± 15.0 years old. The most common age group is from 40 to 60 years old, accounting for 39.1%. Most of the patients had complete thrombosis on contrast-enhanced CT scan, accounting for 98.3%. 68.7% of patients confirmed the May-Thurner syndrome. There was not any serious complications such as cerebral hemorrhage and postoperative mortality. The failure rate of recanalization was 10.4%%, 7.7% in the surgical thrombectomy group and 14% in the intervention group. 47.8% of patients significantly improved clinical symptom. The most common complication was mild bleeding after surgery, accounting for 12.3%. Conclusion: The treatment intervention method for patients with acute deep vein thrombosis of the lower extremities had good early outcomes, signìicantly improved the symptoms.

Article Details

Keywords

deep venous thrombosis, thrombectomy, endovascular intervention

References

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