Catheter-Directed Thrombolysis for Lower Extremity Deep Venous Thrombosis; Short Term Results of Catheter-Directed Thrombolysis for Deep Vein Thrombosis

Objective: Thrombosis of the deep veins in the supragenicular region is a common clinical condition. Pharmacomechanical assisted removal of the thrombus for the initial management may provide the complete recovery with preservation of normal venous valve function. Material and Methods: Seventeen patients with deep vein thrombosis were treated using ultrasound- accelerated catheter-directed thrombolysis in addition to standard anticoagulant therapy. After 6 months, venous patency of the treated vessels was investigated using duplex ultrasound. Results: Thrombolysis was successful in 70.6% (12/17) of the patients. Twelve patients had complete clot lysis (>90% restored patency). Bleeding at the catheter-insertion site was observed in- four patients. No pulmonary embolism was seen. In one patient, peroneal nerve injury occurred. Conclusion: Ultrasound-accelerated catheter-directed thrombolysis may be a promising treatment in patients with lower extremity deep vein thrombosis.