Objective:

To describe the outcomes in patients with deep vein thrombosis of the lower limbs who underwent thrombectomy or thrombolysis with and without angioplasty with and without an inferior vena cava filter.

Results:

Twenty-eight patients were included, mostly women (71.4%), with an average age of 46.7 years, who received treatment with thrombolysis + mechanical thrombectomy, which in turn was associated with a longer stay in intensive care (p = 0.023). The main risk factors were diabetes mellitus / HT, previous DVT and orthopedic operation. The most frequently involved venous segment was the iliofemoral segment, which was associated with a surgical history (p = 0.027), iliac venous compression (p = 0.044) and use of an inferior vena cava filter (p = 0.044), but not with complications (p = 0.089). Up to 30% of the patients presented rethrombosis six months after the first procedure; 7% of the patients had severe post-thrombotic syndrome.

Conclusions:

This registry suggests that catheter-directed pharmacomechanical treatment is safe and effective in DVT and reduces hospital stay times, onset and severity of post-thrombotic syndrome.

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