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Conference Paper: Systematic review of percutaneous mechanical thrombectomy in the treatment of acute iliofemoral deep vein thrombosis
Title | Systematic review of percutaneous mechanical thrombectomy in the treatment of acute iliofemoral deep vein thrombosis |
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Authors | |
Issue Date | 2017 |
Publisher | Wiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH |
Citation | The Royal College of Surgeons of Edinburgh and College of Surgeons of Hong Kong (RCSEd/CSHK) Conjoint Scientific Congress 2017: Controversies in Surgery, Hong Kong, 23-24 September 2017. In Surgical Practice, 2017, v. 21 n. Suppl. 1, p. 12-13, abstract no. EFP13 How to Cite? |
Abstract | Aim: To review the clinical efficacy and safety of per-cutaneous mechanical thrombectomy (PMT ) againstcatheter-directed thrombolysis (CDT) in the treatmentof acute iliofemoral DVT.
Method: This review was conducted in accordancewith the Preferred Reporting Items for Sys tematicReviews and Meta-analysis (PRISMA) statement.Three hundred and sixty-nine articles were identifiedthrough screening in the PubM ed, EMBASE andCochrane database from Jan 2006 to Dec 2016.
Results: Fifteen retrospective studies and one pro-spective registry, totaling 1170 patients, wererecruited into qualitative synthesis. The venouspatency rate ranged from 75-100% with a meanfollow-up of 12.3 months. The rate of PTS and recur-rent DVT were less than 17% and 15% respectively.The overall mortality rate was 0.26%. Compared withCDT, PMT was shown to reduce PTS at 1 year (Villalta scale 2.1+/-3.0 in PMT group and 5.1+/-4.1 inCDT group, p = 0.03) and bleeding complications(Packed cells transfusion 0.2+/-0.3 units in Pharmaco-mechanical thrombectomy group and 1.2+/-0.7 unitsin CDT group, p <0.05).
Conclusion: PMT appeared to be a safe and effec-tive treatment for acute iliofemoral DVT in terms ofrestoration of venous patency, prevention of DVTrecurrence and PTS. Compared with CDT alone, PMToffered lower risk of PTS and bleeding complications. |
Description | Extra Free Paper Session II |
Persistent Identifier | http://hdl.handle.net/10722/253599 |
ISSN | 2023 Impact Factor: 0.3 2023 SCImago Journal Rankings: 0.152 |
DC Field | Value | Language |
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dc.contributor.author | Wong, PC | - |
dc.contributor.author | Chan, YC | - |
dc.contributor.author | Law, Y | - |
dc.contributor.author | Cheng, SWK | - |
dc.date.accessioned | 2018-05-21T03:00:13Z | - |
dc.date.available | 2018-05-21T03:00:13Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | The Royal College of Surgeons of Edinburgh and College of Surgeons of Hong Kong (RCSEd/CSHK) Conjoint Scientific Congress 2017: Controversies in Surgery, Hong Kong, 23-24 September 2017. In Surgical Practice, 2017, v. 21 n. Suppl. 1, p. 12-13, abstract no. EFP13 | - |
dc.identifier.issn | 1744-1625 | - |
dc.identifier.uri | http://hdl.handle.net/10722/253599 | - |
dc.description | Extra Free Paper Session II | - |
dc.description.abstract | Aim: To review the clinical efficacy and safety of per-cutaneous mechanical thrombectomy (PMT ) againstcatheter-directed thrombolysis (CDT) in the treatmentof acute iliofemoral DVT. Method: This review was conducted in accordancewith the Preferred Reporting Items for Sys tematicReviews and Meta-analysis (PRISMA) statement.Three hundred and sixty-nine articles were identifiedthrough screening in the PubM ed, EMBASE andCochrane database from Jan 2006 to Dec 2016. Results: Fifteen retrospective studies and one pro-spective registry, totaling 1170 patients, wererecruited into qualitative synthesis. The venouspatency rate ranged from 75-100% with a meanfollow-up of 12.3 months. The rate of PTS and recur-rent DVT were less than 17% and 15% respectively.The overall mortality rate was 0.26%. Compared withCDT, PMT was shown to reduce PTS at 1 year (Villalta scale 2.1+/-3.0 in PMT group and 5.1+/-4.1 inCDT group, p = 0.03) and bleeding complications(Packed cells transfusion 0.2+/-0.3 units in Pharmaco-mechanical thrombectomy group and 1.2+/-0.7 unitsin CDT group, p <0.05). Conclusion: PMT appeared to be a safe and effec-tive treatment for acute iliofemoral DVT in terms ofrestoration of venous patency, prevention of DVTrecurrence and PTS. Compared with CDT alone, PMToffered lower risk of PTS and bleeding complications. | - |
dc.language | eng | - |
dc.publisher | Wiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH | - |
dc.relation.ispartof | Surgical Practice | - |
dc.relation.ispartof | RCSEd/CSHK Conjoint Scientific Congress 2017 | - |
dc.title | Systematic review of percutaneous mechanical thrombectomy in the treatment of acute iliofemoral deep vein thrombosis | - |
dc.type | Conference_Paper | - |
dc.identifier.email | Chan, YC: ycchan88@hkucc.hku.hk | - |
dc.identifier.email | Law, Y: ylaw@hku.hk | - |
dc.identifier.email | Cheng, SWK: swkcheng@hku.hk | - |
dc.identifier.authority | Chan, YC=rp00530 | - |
dc.identifier.authority | Cheng, SWK=rp00374 | - |
dc.identifier.hkuros | 285003 | - |
dc.identifier.volume | 21 | - |
dc.identifier.issue | Suppl. 1 | - |
dc.identifier.spage | 12 | - |
dc.identifier.epage | 13 | - |
dc.publisher.place | Australia | - |
dc.identifier.issnl | 1744-1625 | - |