Outcomes and predictors of failure of thrombolysis for iliofemoral deep venous thrombosis.
Identifieur interne : 000413 ( PubMed/Checkpoint ); précédent : 000412; suivant : 000414Outcomes and predictors of failure of thrombolysis for iliofemoral deep venous thrombosis.
Auteurs : Efthymios D. Avgerinos ; Eric S. Hager ; Abdallah Naddaf ; Ellen Dillavou ; Michael Singh ; Rabih A. Chaer [États-Unis]Source :
- Journal of vascular surgery. Venous and lymphatic disorders [ 2213-3348 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Cathétérisme périphérique, Femelle, Humains, Résultat thérapeutique, Sujet âgé, Thrombolyse mécanique (effets indésirables), Thrombose veineuse (), Traitement thrombolytique (effets indésirables), Veine fémorale (anatomopathologie), Veine iliaque commune (anatomopathologie), Échec thérapeutique, Études rétrospectives.
- MESH :
- anatomopathologie : Veine fémorale, Veine iliaque commune.
- effets indésirables : Thrombolyse mécanique, Traitement thrombolytique.
- Adulte, Adulte d'âge moyen, Cathétérisme périphérique, Femelle, Humains, Résultat thérapeutique, Sujet âgé, Thrombose veineuse, Échec thérapeutique, Études rétrospectives.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Mechanical Thrombolysis, Thrombolytic Therapy.
- pathology : Femoral Vein, Iliac Vein.
- therapy : Venous Thrombosis.
- Adult, Aged, Catheterization, Peripheral, Female, Humans, Middle Aged, Retrospective Studies, Treatment Failure, Treatment Outcome.
Abstract
Catheter-directed thrombolysis (CDT) with adjunctive mechanical techniques, when successful, is reported to alleviate symptoms of acute iliofemoral deep venous thrombosis (IFDVT) and to lower the occurrence of the post-thrombotic syndrome (PTS). This study aimed to determine longer term outcomes of catheter-based interventions for IFDVT and to identify predictors of immediate and mid-long-term failures that would guide optimal patient selection.
DOI: 10.1016/j.jvsv.2014.07.007
PubMed: 26993678
Affiliations:
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Hager</name><affiliation><nlm:affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Naddaf, Abdallah" sort="Naddaf, Abdallah" uniqKey="Naddaf A" first="Abdallah" last="Naddaf">Abdallah Naddaf</name><affiliation><nlm:affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Dillavou, Ellen" sort="Dillavou, Ellen" uniqKey="Dillavou E" first="Ellen" last="Dillavou">Ellen Dillavou</name><affiliation><nlm:affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Singh, Michael" sort="Singh, Michael" uniqKey="Singh M" first="Michael" last="Singh">Michael Singh</name><affiliation><nlm:affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Chaer, Rabih A" sort="Chaer, Rabih A" uniqKey="Chaer R" first="Rabih A" last="Chaer">Rabih A. 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Avgerinos</name><affiliation><nlm:affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Hager, Eric S" sort="Hager, Eric S" uniqKey="Hager E" first="Eric S" last="Hager">Eric S. Hager</name><affiliation><nlm:affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Naddaf, Abdallah" sort="Naddaf, Abdallah" uniqKey="Naddaf A" first="Abdallah" last="Naddaf">Abdallah Naddaf</name><affiliation><nlm:affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Dillavou, Ellen" sort="Dillavou, Ellen" uniqKey="Dillavou E" first="Ellen" last="Dillavou">Ellen Dillavou</name><affiliation><nlm:affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Singh, Michael" sort="Singh, Michael" uniqKey="Singh M" first="Michael" last="Singh">Michael Singh</name><affiliation><nlm:affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Chaer, Rabih A" sort="Chaer, Rabih A" uniqKey="Chaer R" first="Rabih A" last="Chaer">Rabih A. Chaer</name><affiliation wicri:level="1"><nlm:affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa. Electronic address: chaerra@upmc.edu.</nlm:affiliation><country wicri:rule="url">États-Unis</country></affiliation></author></analytic><series><title level="j">Journal of vascular surgery. Venous and lymphatic disorders</title><idno type="eISSN">2213-3348</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Catheterization, Peripheral</term><term>Female</term><term>Femoral Vein (pathology)</term><term>Humans</term><term>Iliac Vein (pathology)</term><term>Mechanical Thrombolysis (adverse effects)</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Thrombolytic Therapy (adverse effects)</term><term>Treatment Failure</term><term>Treatment Outcome</term><term>Venous Thrombosis (therapy)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Cathétérisme périphérique</term><term>Femelle</term><term>Humains</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Thrombolyse mécanique (effets indésirables)</term><term>Thrombose veineuse ()</term><term>Traitement thrombolytique (effets indésirables)</term><term>Veine fémorale (anatomopathologie)</term><term>Veine iliaque commune (anatomopathologie)</term><term>Échec thérapeutique</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mechanical Thrombolysis</term><term>Thrombolytic Therapy</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Veine fémorale</term><term>Veine iliaque commune</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Thrombolyse mécanique</term><term>Traitement thrombolytique</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Femoral Vein</term><term>Iliac Vein</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Venous Thrombosis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Catheterization, Peripheral</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Treatment Failure</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Cathétérisme périphérique</term><term>Femelle</term><term>Humains</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Thrombose veineuse</term><term>Échec thérapeutique</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Catheter-directed thrombolysis (CDT) with adjunctive mechanical techniques, when successful, is reported to alleviate symptoms of acute iliofemoral deep venous thrombosis (IFDVT) and to lower the occurrence of the post-thrombotic syndrome (PTS). This study aimed to determine longer term outcomes of catheter-based interventions for IFDVT and to identify predictors of immediate and mid-long-term failures that would guide optimal patient selection.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26993678</PMID><DateCreated><Year>2016</Year><Month>03</Month><Day>19</Day></DateCreated><DateCompleted><Year>2017</Year><Month>09</Month><Day>18</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2213-3348</ISSN><JournalIssue CitedMedium="Internet"><Volume>3</Volume><Issue>1</Issue><PubDate><Year>2015</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Journal of vascular surgery. Venous and lymphatic disorders</Title><ISOAbbreviation>J Vasc Surg Venous Lymphat Disord</ISOAbbreviation></Journal><ArticleTitle>Outcomes and predictors of failure of thrombolysis for iliofemoral deep venous thrombosis.</ArticleTitle><Pagination><MedlinePgn>35-41</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jvsv.2014.07.007</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S2213-333X(14)00120-6</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Catheter-directed thrombolysis (CDT) with adjunctive mechanical techniques, when successful, is reported to alleviate symptoms of acute iliofemoral deep venous thrombosis (IFDVT) and to lower the occurrence of the post-thrombotic syndrome (PTS). This study aimed to determine longer term outcomes of catheter-based interventions for IFDVT and to identify predictors of immediate and mid-long-term failures that would guide optimal patient selection.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Consecutive patients who underwent CDT or pharmacomechanical thrombolysis for IFDVT between May 2007 and March 2013 were identified from a prospectively maintained database. Assessment of predictors of immediate periprocedural failure was based on the degree of clot lysis (≤ 50% vs >50%) and 30-day recurrence of DVT. Long-term anatomic and clinical failures and outcomes were assessed by ultrasound imaging of the lysed segments and Villalta score (≥ 5 vs <5). Survival analysis was used to assess primary patency and PTS morbidity. Multivariate binary logistic and Cox regression models were used to determine predictors of anatomic and clinical failures.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">During the study period, 93 patients (118 limbs; mean age, 49.4 ± 16.2 years; 47 women) with symptoms averaging 11.1 ± 9.6 days in duration were treated with various combinations of CDT or pharmacomechanical thrombolysis; in 52 (56%), at least one iliocaval stent was deployed. Immediate treatment failure was seen in 11 patients (12%) predicted by the preoperative indication "phlegmasia" (odds ratio, 3.12; P = .042) and recent surgery (odds ratio, 19.6; P = .018). At a mean ultrasonographic follow-up of 16 ± 14 months (range, 1-65 months), six more patients sustained a rethrombosis, accounting for an overall 3-year primary patency of 72.1%. In the long-term model, loss of primary patency was associated with recent surgery (hazard ratio [HR], 4.04; P = .023), malignant disease (HR, 6.75; P = .016), and incomplete thrombolysis (≤ 50%) (HR, 5.83; P < .001). By stratification of PTS on the basis of postprocedure failures, at 2 years PTS occurred in 50.6% of patients and in 16.3% of patients without failure (P < .001).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Thrombolysis for symptomatic IFDVT can achieve high rates of thrombus resolution and reduce long-term PTS morbidity on careful patient selection. Improved anatomic and clinical outcomes are associated with the completeness of thrombolysis.</AbstractText><CopyrightInformation>Copyright © 2015. Published by Elsevier Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Avgerinos</LastName><ForeName>Efthymios D</ForeName><Initials>ED</Initials><AffiliationInfo><Affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hager</LastName><ForeName>Eric S</ForeName><Initials>ES</Initials><AffiliationInfo><Affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Naddaf</LastName><ForeName>Abdallah</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dillavou</LastName><ForeName>Ellen</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Singh</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chaer</LastName><ForeName>Rabih A</ForeName><Initials>RA</Initials><AffiliationInfo><Affiliation>Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa. Electronic address: chaerra@upmc.edu.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>08</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Vasc Surg Venous Lymphat Disord</MedlineTA><NlmUniqueID>101607771</NlmUniqueID></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002406" MajorTopicYN="N">Catheterization, Peripheral</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005268" MajorTopicYN="Y">Femoral Vein</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007084" MajorTopicYN="Y">Iliac Vein</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061185" MajorTopicYN="N">Mechanical Thrombolysis</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015912" MajorTopicYN="N">Thrombolytic Therapy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017211" MajorTopicYN="N">Treatment Failure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020246" MajorTopicYN="N">Venous Thrombosis</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>04</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>07</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>3</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>9</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26993678</ArticleId><ArticleId IdType="pii">S2213-333X(14)00120-6</ArticleId><ArticleId IdType="doi">10.1016/j.jvsv.2014.07.007</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Avgerinos, Efthymios D" sort="Avgerinos, Efthymios D" uniqKey="Avgerinos E" first="Efthymios D" last="Avgerinos">Efthymios D. Avgerinos</name><name sortKey="Dillavou, Ellen" sort="Dillavou, Ellen" uniqKey="Dillavou E" first="Ellen" last="Dillavou">Ellen Dillavou</name><name sortKey="Hager, Eric S" sort="Hager, Eric S" uniqKey="Hager E" first="Eric S" last="Hager">Eric S. Hager</name><name sortKey="Naddaf, Abdallah" sort="Naddaf, Abdallah" uniqKey="Naddaf A" first="Abdallah" last="Naddaf">Abdallah Naddaf</name><name sortKey="Singh, Michael" sort="Singh, Michael" uniqKey="Singh M" first="Michael" last="Singh">Michael Singh</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Chaer, Rabih A" sort="Chaer, Rabih A" uniqKey="Chaer R" first="Rabih A" last="Chaer">Rabih A. Chaer</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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