Exploring the efficacy of percutaneous puncture of the posterior tibial vein access in the treatment of acute mixed unilateral lower extremity deep vein thrombosis

ZHANG Ming-zhao; LU Ran; XIANG Jun-yi; LI Bo; QIN Rong-qing; ZHANG Yu-bo; ZHOU Bing

doi:10.16766/j.cnki.issn.1674-4152.002400

Volume 20 Issue 4

Apr. 2022

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Article Navigation > Chinese Journal of General Practice > 2022 > 20(4): 560-564

ZHANG Ming-zhao, LU Ran, XIANG Jun-yi, LI Bo, QIN Rong-qing, ZHANG Yu-bo, ZHOU Bing. Exploring the efficacy of percutaneous puncture of the posterior tibial vein access in the treatment of acute mixed unilateral lower extremity deep vein thrombosis[J]. Chinese Journal of General Practice, 2022, 20(4): 560-564. doi: 10.16766/j.cnki.issn.1674-4152.002400

Citation:

ZHANG Ming-zhao, LU Ran, XIANG Jun-yi, LI Bo, QIN Rong-qing, ZHANG Yu-bo, ZHOU Bing. Exploring the efficacy of percutaneous puncture of the posterior tibial vein access in the treatment of acute mixed unilateral lower extremity deep vein thrombosis[J]. Chinese Journal of General Practice, 2022, 20(4): 560-564. doi: 10.16766/j.cnki.issn.1674-4152.002400

Citation:

ZHANG Ming-zhao, LU Ran, XIANG Jun-yi, LI Bo, QIN Rong-qing, ZHANG Yu-bo, ZHOU Bing. Exploring the efficacy of percutaneous puncture of the posterior tibial vein access in the treatment of acute mixed unilateral lower extremity deep vein thrombosis[J]. Chinese Journal of General Practice, 2022, 20(4): 560-564. doi: 10.16766/j.cnki.issn.1674-4152.002400

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Exploring the efficacy of percutaneous puncture of the posterior tibial vein access in the treatment of acute mixed unilateral lower extremity deep vein thrombosis

doi: 10.16766/j.cnki.issn.1674-4152.002400

1.
Department of Interventional Vascular Surgery, the Affiliated Hospital of Hangzhou Normal University, Hangzhou, Zhejiang 310015, China

Funds:

KJ2019A0327

2020KY674

Received Date: 2021-04-18
Available Online: 2022-08-20

Abstract

Abstract

Objective To investigate the efficacy of percutaneous puncture of the posterior tibial vein of the affected calf segment under full fluoroscopy and catheter-contact thrombolysis via this approach in the treatment of acute mixed unilateral lower extremity deep vein thrombosis (DVT). Methods The clinical data of 60 patients with acute mixed unilateral lower extremity DVT admitted to Hangzhou Normal University Hospital from January 2017 to December 2020 were retrospectively analyzed, and all of them were treated with fluoroscopic percutaneous puncture of the posterior tibial vein access to the affected calf segment with indwelling catheters for thrombolysis. The circumference difference between the healthy and affected thighs and the circumference difference between the calves, limb swelling reduction rate, the venous patency score, the time consumed for catheter placement, the occurrence of complications and post-thrombotic syndrome (PTS) were compared to evaluate the treatment effect. Results The difference in circumference between the healthy and affected thighs after treatment was [(0.98±0.86) cm and (0.82±0.57) cm], which was better than that before treatment [(4.56±1.37) cm and (3.51±0.98) cm, all P < 0.01]. The rate of swelling reduction was (78.53±17.72) % in the thigh and (75.79±17.08) % in the calf. The post-thrombolytic venous patency score [1.0(0.0, 2.0) points] was better than the pre-thrombolytic score [5.0(5.0, 6.0) points, P < 0.01]. The mean time of cannulation consumption was (37.02±9.72) minutes. Two cases had extensive subcutaneous ecchymosis near the inguinal puncture site and 1 case had blood leakage from the calf sheath placement site. No serious complications such as bleeding from vital organs occurred. Patients were followed up for a mean of 10-14 months. Seven cases had mild swelling after activity, and 1 case recurred about 10 months after the procedure. Conclusion Thrombolysis by percutaneous puncture of the posterior tibial vein access catheter in the affected calf segment under fluoroscopy for acute mixed unilateral lower extremity DVT has the advantages of precise efficacy, simple operation, few complications, high patient comfort, convenient care, and low incidence of PTS, and is worthy of clinical application.
- Acute lower extremity deep vein thrombosis,
- Posterior tibial vein,
- Catheter thrombolysis

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References

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Exploring the efficacy of percutaneous puncture of the posterior tibial vein access in the treatment of acute mixed unilateral lower extremity deep vein thrombosis

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Exploring the efficacy of percutaneous puncture of the posterior tibial vein access in the treatment of acute mixed unilateral lower extremity deep vein thrombosis

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