Deep venous thrombectomy, by Emma Wilton.
Emma WILTON - OUH
PTS incidence is 30-50% ater DVT
10% will have severe DVT
Persistent venous symptoms at 1 month and residual thrombus on U/S more likely to cause more PTS symptoms
Clear DVT study
Single arm cohotrt
Looking at PTS
after pharamcomechanical therapy (I think, she said)
No PTS in 96%
Who to Rx
-phlegmasia
— severe sx with minimal impreovemnt
- low risk patients
ACT over 250 during the case
Thrombus options:
CDT
EKOS
Angiojet
Indigo
ClotTriever
Aspirex
images shown
IVUS indispensable