Skip to main content

The Efficacy of Pharmacomechanical Thrombolysis in the Treatment of Acute Pulmonary Thromboembolism and Deep Venous Thrombosis

  • Conference paper
Venous Thromboembolism

Conclusions

No conclusions could be drawn from this study because of the limited number of subjects, but the results did suggest that PMT provides the possibility of earlier thrombolysis compared to peripheral venous administration in the treatment of APTE. In the future, we need to conduct a study with a larger number of cases.

PMT for proximal DVT is effective in achieving early thrombolysis, and the combined use of a nonpermanent filter made it possible to prevent the onset of APTE, a serious complication of intervention.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Comerota AJ, Aldridge SC, Cohen G, et al. A strategy of aggressive regional therapy for acute iliofemoral venous thrombosis with contemporary venous thrombectomy or catheter-directed thrombolysis. J Vasc Surg 1994;20:244–54.

    CAS  PubMed  Google Scholar 

  2. Semba CP, Dake MD. Iliofemoral deep venous thrombosis: aggressive therapy with catheter-directed thrombolysis. Radiology 1994;191:487–94.

    CAS  PubMed  Google Scholar 

  3. Mewissen MW, Seabrook GR, Meissner MH, et al. Catheter-directed thrombolysis for lower extremity deep venous thrombosis: report of a national multicenter registry. Radiology 1999;211:39–49.

    CAS  PubMed  Google Scholar 

  4. Comerota AJ, Throm RC, Mathias SD, et al. Catheter-directed thrombolysis for iliofemoral deep venous thrombosis improves health-related quality of life. J Vasc Surg 2000;32:130–7.

    Article  CAS  PubMed  Google Scholar 

  5. Verstraete M, Miller GAH, Bounameaux H, et al. Intravenous and intrapulmonary recombinant tissue-type plasminogen activator in the treatment of acute massive pulmonary embolism. Circulation 1988;77:353–60.

    CAS  PubMed  Google Scholar 

  6. Yamada N, Fujioka H, Ota M, et al. The efficacy of catheter-directed thrombolysis with temporary inferior vena cava filter for proximal deep vein thrombosis. Jpn J Phlebol 1999;10:307–15.

    Google Scholar 

  7. Yamada N, Nakano T. Catheter-directed thrombolysis. Jpn J Phlebol 2001;12:95–105.

    Google Scholar 

  8. Sors H, Meyer G, Reynaud P. Surgical and transvenous catheter embolectomy for acute pulmonary embolism: a review. In: Nakano T, Goldhaber SZ, editors. Pulmonary embolism. Tokyo: Springer-Verlag; 1999. p. 93–107.

    Google Scholar 

  9. Sharafuddin MJ, Hicks ME. Current status of percutaneous mechanical thrombectomy. Part I. General principles. J Vasc Interv Radiol 1997;8:911–21.

    CAS  PubMed  Google Scholar 

  10. Greenfield LJ, Proctor MC, Williams DM, et al. Long-term experience with transverse catheter pulmonary embolectomy. J Vasc Surg 1993;18:450–7.

    CAS  PubMed  Google Scholar 

  11. Schmitz-Rode T, Janssens U, Schild HH, et al. Fragmentation of massive pulmonary embolism using a pigtail rotation catheter. Chest 1998;114:1427–36.

    CAS  PubMed  Google Scholar 

  12. Schmitz-Rode T, Janssens U, Hanrath P, et al. Fragmentation of massive pulmonary embolism by pigtail rotation catheter: possible complication. Eur Radiol 2001;11:2047–9.

    CAS  PubMed  Google Scholar 

  13. Arnesen H, Hoiseth A, Ly B. Streptokinase or heparin in the treatment of deep vein thrombosis. Acta Med Scand 1982;211:65–8.

    CAS  PubMed  Google Scholar 

  14. Watz R, Savidge GF. Rapid thrombolysis and preservation of valvular venous function in high deep vein thrombosis. Acta Med Scand 1979;205:293–98.

    CAS  PubMed  Google Scholar 

  15. Yamada N, Fujioka H, Yazu T, et al. Experience of temporary inferior vena cava filters. Sentan-iryou 1998;4:86–8.

    Google Scholar 

  16. Yamada N, Niwa A, Sakuma S, et al. Temporary inferior vena cava filters in Japan. Ther Res 2001;22:1439–41.

    Google Scholar 

  17. Ishikura K, Yamada N, Oota M, et al. Clinical experience with retrievable vena cava filters for prevention of pulmonary thromboembolism. J Cardiol 2002;40:267–73.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Springer-Verlag Tokyo

About this paper

Cite this paper

Yamada, N. (2005). The Efficacy of Pharmacomechanical Thrombolysis in the Treatment of Acute Pulmonary Thromboembolism and Deep Venous Thrombosis. In: Shirato, K. (eds) Venous Thromboembolism. Springer, Tokyo. https://doi.org/10.1007/4-431-27121-X_3

Download citation

  • DOI: https://doi.org/10.1007/4-431-27121-X_3

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-22080-0

  • Online ISBN: 978-4-431-27121-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics