Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259

Turkish Journal of Vascular Surgery 2017 , Vol 26 , Issue 3
Comparison of different venous accesses through catheter-directed thrombolysis procedures in patients with acute deep vein thrombosis
Çağdaş Baran1,Mehmet Çakıcı1,Evren Özçınar1,Ali İhsan Hasde1,Fatih Gümüş1,Canan Soykan1,Mustafa Şırlak1,Rüçhan Akar1
1Ankara Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Ankara, Türkiye DOI : 10.5606/tjvs.2017.1 Objectives: This study aims to compare the results of different venous accesses through catheter-directed thrombolysis (CDT) in patients with acute lower deep vein thrombosis (DVT).

Patients and methods: Between January 2013 and August 2016, 85 patients (42 males, 43 females; mean age 65 years; range 23 to 75 years) who were diagnosed with iliofemoral DVT underwent CDT. As the venous access route, femoral vein (FV) (n=20), popliteal vein (PV) (n=58), and vena safena parva (VSP) (n=7) were used.

Results: The lengths of thrombolysis were significantly shorter in DVT patients in whom PV and FV were used chosen for venous access, compared to VSP (p=0.03 and p=0.012, respectively). Although we used VSP as the access route in few patients in whom approach for PV was technically difficult, these patients had significantly lesser minor bleeding and ecchymosis in the puncture site, compared to the other venous access points (p<0.5).

Conclusion: Our study results suggest that CDT is a feasible method for acute, diffuse iliofemoral DVT patients. Choosing the right venous access route in the right patient is critical to obtain optimal results with less complication. Keywords : Catheter-directed thrombolysis; deep vein thrombosis; venous access