B. METHODS
Ⅴ. CONCLUSION
Aspiration thrombectomy is a safe and effective treatment for acute proximal DVT.
Clinical mid and long-term results are encouraging. In the background of recent internal bleeding, recent surgery, patients with bleeding disorders, severe hypertension, or recent cardiovascular accident, thrombolysis of suprapopliteal DVT is contraindicated and aspiration thrombectomy could be the alternative treatment choice. The advocacy of aspiration thrombectomy as the sole treatment for acute DVT could also be justified on the basis of cost effectiveness and less potential for vein wall damage.
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심부 정맥 혈전증과 관련된 증상을 보였다. 장기 추적 관찰 기간 동안 남아있던 52 명의 환자들에서 78.8% (41/52 명)의 환자들은 재발 소견 없었고 21.1% (11/52 명)은 재발 소견을 보였다. 71.1% (37/52 명)의 환자들은 장기추적관찰에서 무증상이었으며 28.8% (15/52 명)의 환자들은 심부 정맥 혈전증과 관련된 증상을 보였다.
결론: 흡인 혈전 제거술은 급성 근위부 심부 정맥 혈전증의 치료에 있어서 주요합병증 없이 안전하고 경제적이며 효과적인 치료 방법이다. 중 장기 추적 결과에서도 다른 치료방법과 유사한 임상결과를 보였다.
핵심어: 심부정맥혈전증, 혈전용해술, 혈전제거술, 카테터, 메이-써널 증후군.