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Conference Paper: Systematic review of percutaneous mechanical thrombectomy in the treatment of acute iliofemoral deep vein thrombosis

TitleSystematic review of percutaneous mechanical thrombectomy in the treatment of acute iliofemoral deep vein thrombosis
Authors
Issue Date2017
PublisherWiley-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?
AbstractAim: 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.
DescriptionExtra Free Paper Session II
Persistent Identifierhttp://hdl.handle.net/10722/253599
ISSN
2013 Impact Factor: 0.172
2015 SCImago Journal Rankings: 0.121

 

DC FieldValueLanguage
dc.contributor.authorWong, PC-
dc.contributor.authorChan, YC-
dc.contributor.authorLaw, Y-
dc.contributor.authorCheng, SWK-
dc.date.accessioned2018-05-21T03:00:13Z-
dc.date.available2018-05-21T03:00:13Z-
dc.date.issued2017-
dc.identifier.citationThe 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.issn1744-1625-
dc.identifier.urihttp://hdl.handle.net/10722/253599-
dc.descriptionExtra Free Paper Session II-
dc.description.abstractAim: 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.languageeng-
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH-
dc.relation.ispartofSurgical Practice-
dc.relation.ispartofRCSEd/CSHK Conjoint Scientific Congress 2017-
dc.titleSystematic review of percutaneous mechanical thrombectomy in the treatment of acute iliofemoral deep vein thrombosis-
dc.typeConference_Paper-
dc.identifier.emailChan, YC: ycchan88@hkucc.hku.hk-
dc.identifier.emailLaw, Y: ylaw@hku.hk-
dc.identifier.emailCheng, SWK: swkcheng@hku.hk-
dc.identifier.authorityChan, YC=rp00530-
dc.identifier.authorityCheng, SWK=rp00374-
dc.identifier.hkuros285003-
dc.identifier.volume21-
dc.identifier.issueSuppl. 1-
dc.identifier.spage12-
dc.identifier.epage13-
dc.publisher.placeAustralia-

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