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
Review
. 2023 Jun;14(3):161-166.
doi: 10.14740/cr1490. Epub 2023 May 26.

Ultrasound-Accelerated Catheter-Directed Thrombolysis

Affiliations
Review

Ultrasound-Accelerated Catheter-Directed Thrombolysis

Mrhaf Alsamman et al. Cardiol Res. 2023 Jun.

Abstract

Venous thromboembolism is a very common presentation in the hospital setting. In patients with high-risk pulmonary embolism (PE) or PE and hemodynamic instability, systemic thrombolytic treatment is generally indicated. In those with contraindications to systemic thrombolysis, catheter-directed local thrombolytic therapy and surgical embolectomy are currently considered. In particular, catheter-directed thrombolysis (CDT) is a drug delivery system coupling the endovascular drug administration nearby in the thrombus and the local facilitating effect of ultrasounds. The applications of CDT are currently debated. Here we provide a systematic review of the clinical utilization of CDT.

Keywords: Catheter-directed thrombolysis; Deep venous thrombosis; Embolectomy; Pulmonary embolism; Venous thromboembolism.

PubMed Disclaimer

Conflict of interest statement

The authors affirm that they have no conflict of interest.

References

    1. Giordano NJ, Jansson PS, Young MN, Hagan KA, Kabrhel C. Epidemiology, pathophysiology, stratification, and natural history of pulmonary embolism. Tech Vasc Interv Radiol. 2017;20(3):135–140. doi: 10.1053/j.tvir.2017.07.002. - DOI - PubMed
    1. Marti C, John G, Konstantinides S, Combescure C, Sanchez O, Lankeit M, Meyer G. et al. Systemic thrombolytic therapy for acute pulmonary embolism: a systematic review and meta-analysis. Eur Heart J. 2015;36(10):605–614. doi: 10.1093/eurheartj/ehu218. - DOI - PMC - PubMed
    1. Maturana MA, Seitz MP, Pour-Ghaz I, Ibebuogu UN, Khouzam RN. Invasive Strategies for the Treatment of pulmonary embolism. Where are we in 2020? Curr Probl Cardiol. 2021;46(3):100650. doi: 10.1016/j.cpcardiol.2020.100650. - DOI - PubMed
    1. Garcia MJ. Endovascular management of acute pulmonary embolism using the ultrasound-enhanced EkoSonic system. Semin Intervent Radiol. 2015;32(4):384–387. doi: 10.1055/s-0035-1564707. - DOI - PMC - PubMed
    1. Notten P, de Smet A, Tick LW, van de Poel MHW, Wikkeling ORM, Vleming LJ, Koster A. et al. CAVA (Ultrasound-Accelerated Catheter-Directed Thrombolysis on Preventing Post-Thrombotic Syndrome) trial: long-term follow-up results. J Am Heart Assoc. 2021;10(11):e018973. doi: 10.1161/JAHA.120.018973. - DOI - PMC - PubMed