New technique for Deep Vein Thrombosis (DVT)

New technique for Deep Vein Thrombosis (DVT)

63yr old female referred to our hospital with c/o left leg swelling and severe pain for 10 days. She was evaluated in out side hospital with venous doppler which revealed extensive thrombosis of left Ileo-femoral and popliteal veins with suspected May-Thurner syndrome. On examination the left lower limb was hugely swollen, tender with evidence of early phlegmasia (s/o impending venous gangrene).

She was treated with pharmacomechanical thrombolysis using ANGIOJET SYSTEM removing all the thrombus. Post thrombolysis, the tight stenosis of the left distal CIV was unmasked and venoplasty and stenting was carried out. Post procedure the thigh swelling has completely disappeared with mild residual leg swelling which is expected to subside over a period of 1 month. Now she is ready to get discharged with almost no pain in left leg.

Why this is unique

  • Angiojet system is used for first time in Coimbatore.
  • By using this system entire clot can be removed in just 20-30 minutes.
  • Patient can be discharged home next day.
  • In conventional system we have to lyse the clot for 12-24 hours with continuous infusion (some times it may take 3-4 days to lyse the entire clot).
  • Multiple time shifting of patient from ICU to cathlab can be avoided.
  • Chance of bleeding is less.

 

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