Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2012 Mar;94(2):e103-5.
doi: 10.1308/003588412X13171221589496.

Total preservation of patency and valve function after percutaneous pharmacomechanical thrombolysis using the Trellis®-8 system for an acute, extensive deep venous thrombosis

J R Wormald  1 , T R A Lane, P E Herbert, M Ellis, N J Burfitt, I J Franklin
Affiliations
Case Reports

Total preservation of patency and valve function after percutaneous pharmacomechanical thrombolysis using the Trellis®-8 system for an acute, extensive deep venous thrombosis

J R Wormald et al. Ann R Coll Surg Engl. 2012 Mar.

Abstract

Pharmacomechanical thrombolysis is being used increasingly for the treatment of deep vein thrombosis (DVT) and aims to reduce the severity of post-thrombotic syndrome. We report the case of a 60-year-old woman with extensive lower limb DVT that was treated using pharmacomechanical thrombolysis leading to complete recovery of her deep venous system. The prompt use of pharmacomechanical thrombolysis for the acute management of extensive DVT should be considered when treating patients with extensive DVT in order to facilitate return of normal function.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Computed tomography venography curved coronal reformat image showing left iliac system deep vein thrombosis (arrow)
Figure 2
Figure 2
Trellis®-8 device in situ from left common iliac vein to popliteal vein
Figure 3
Figure 3
Venography after Trellis®-8 and 16-hour thrombolysis showing thrombus resolution and patent common iliac vein stent
See this image and copyright information in PMC

References

    1. Wittens C, Strijkers R. Thrombolytic Management of DVT. In: Davies AH, ed. Vascular and Endovascular Surgery Highlights 2010–11. Abingdon: Health Press; 2011; pp41–45.
    1. O’Sullivan GJ, Lohan DG, Gough N et al. . Pharmacomechanical thrombectomy of acute deep vein thrombosis with the Trellis-8 isolated thrombolysis catheter. J Vasc Interv Radiol 2007; 18: 715–724. - PubMed
    1. Arko FR, Davis CM, Murphy EH et al. . Aggressive percutaneous mechanical thrombectomy of deep venous thrombosis: early clinical results. Arch Surg 2007; 142: 513–518. - PubMed
    1. Rao AS, Konig G, Leers SA et al. . Pharmacomechanical thrombectomy for iliofemoral deep vein thrombosis: an alternative in patients with contraindications to thrombolysis. J Vasc Surg 2009; 50: 1,092–1,098. - PubMed
    1. The ATTRACT Study. Washington University School of Medicine. http://www.attract.wustl.edu/ (cited January 2012).

Publication types