DETECT-DVT: Detroit Evaluation of Thrombectomy and Evaluation of Intravascular Ultrasound in Deep Vein Thrombosis
Background: We sought to evaluate the use of intravascular ultrasound (IVUS) and mechanical thrombectomy (MT) for the treatment of deep vein thrombosis (DVT) in a community hospital setting. Methods: Data were analyzed among patients with lower extremity DVT who underwent MT from December 1, 2021 to...
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Elsevier
2024-10-01
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| Series: | Journal of the Society for Cardiovascular Angiography & Interventions |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772930324013760 |
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| author | Sabina Kumar, MS, DO Brian Ballard, DO Umeh Chukwuemeka, MD Anthony Teta, MD Mustafa Turkmani, MD Anuraag Khandavalli, MD Samuel Reenders, MS, DO Arjun Chadha, MD Marian Canon, MD Saman Barznji, MD Jason Kaplan, MD Varun Yelamanchilli, MD Brandon Ballard, BS Mark Zainea, MD Jay Mohan, DO |
| author_facet | Sabina Kumar, MS, DO Brian Ballard, DO Umeh Chukwuemeka, MD Anthony Teta, MD Mustafa Turkmani, MD Anuraag Khandavalli, MD Samuel Reenders, MS, DO Arjun Chadha, MD Marian Canon, MD Saman Barznji, MD Jason Kaplan, MD Varun Yelamanchilli, MD Brandon Ballard, BS Mark Zainea, MD Jay Mohan, DO |
| author_sort | Sabina Kumar, MS, DO |
| collection | DOAJ |
| description | Background: We sought to evaluate the use of intravascular ultrasound (IVUS) and mechanical thrombectomy (MT) for the treatment of deep vein thrombosis (DVT) in a community hospital setting. Methods: Data were analyzed among patients with lower extremity DVT who underwent MT from December 1, 2021 to December 1, 2022. Results: A total of 1263 patients were evaluated and only 8.8% of patients with DVT received intervention. Of them, 42% were women. The mean age and length of stay were 61.3 years and 3.5 days, respectively. For cases that proceeded to intervention, IVUS was used in 89% of cases, 80% received venoplasty, and 30% received stents. The mean number of MT passes was 4 and the mean contrast volume used was 71 mL. Flow was restored in 96.7% of cases. The procedure was unable to be completed in 1.8% of the cases, and 1.8% had a reported complication after the procedure. Vascular surgery was consulted in 64.4% of the cases, cardiology in 33%, interventional radiology in 12.5%, and 10.9% of the patients had multiple consults. MT was associated with postprocedure reduction of hemoglobin levels (13.4 vs 12.1; P < .001) and no change in postprocedure creatinine levels (1.08 vs 1.04; P = .28). IVUS was associated with fewer passes, although this was not statistically significant (P = .09). Additionally, IVUS was associated with increased stenting (P = .03) and venoplasty (P < .001). Conclusions: MT is shown to be successful in restoring venous flow and is utilized by multiple specialties in the treatment of DVT. Additionally, IVUS was widely used in conjunction with MT, and it was associated with increased advanced interventions, such as venoplasty and stent placement. |
| format | Article |
| id | doaj-art-c65b0eb3634e48338958e36c88ee282e |
| institution | OA Journals |
| issn | 2772-9303 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Society for Cardiovascular Angiography & Interventions |
| spelling | doaj-art-c65b0eb3634e48338958e36c88ee282e2025-08-20T02:08:45ZengElsevierJournal of the Society for Cardiovascular Angiography & Interventions2772-93032024-10-0131010215310.1016/j.jscai.2024.102153DETECT-DVT: Detroit Evaluation of Thrombectomy and Evaluation of Intravascular Ultrasound in Deep Vein ThrombosisSabina Kumar, MS, DO0Brian Ballard, DO1Umeh Chukwuemeka, MD2Anthony Teta, MD3Mustafa Turkmani, MD4Anuraag Khandavalli, MD5Samuel Reenders, MS, DO6Arjun Chadha, MD7Marian Canon, MD8Saman Barznji, MD9Jason Kaplan, MD10Varun Yelamanchilli, MD11Brandon Ballard, BS12Mark Zainea, MD13Jay Mohan, DO14Division of Cardiology, Michigan State University, East Lansing, Michigan; Corresponding authorDivision of Cardiology, Michigan State University, East Lansing, MichiganDepartment of Cardiology, Hemet Global Medical Center, Hemet, CaliforniaDivision of Cardiology, Michigan State University, East Lansing, MichiganDivision of Cardiology, Michigan State University, East Lansing, MichiganDivision of Cardiology, Michigan State University, East Lansing, MichiganDivision of Cardiology, Michigan State University, East Lansing, MichiganDivision of Cardiology, Michigan State University, East Lansing, MichiganDivision of Cardiology, Michigan State University, East Lansing, MichiganDivision of Cardiology, Michigan State University, East Lansing, MichiganDivision of Cardiology, Michigan State University, East Lansing, MichiganDivision of Cardiology, Michigan State University, East Lansing, MichiganDepartment of Surgery, Mayo Clinic, Rochester, MinnesotaDivision of Cardiology, Michigan State University, East Lansing, MichiganDivision of Cardiology, Michigan State University, East Lansing, MichiganBackground: We sought to evaluate the use of intravascular ultrasound (IVUS) and mechanical thrombectomy (MT) for the treatment of deep vein thrombosis (DVT) in a community hospital setting. Methods: Data were analyzed among patients with lower extremity DVT who underwent MT from December 1, 2021 to December 1, 2022. Results: A total of 1263 patients were evaluated and only 8.8% of patients with DVT received intervention. Of them, 42% were women. The mean age and length of stay were 61.3 years and 3.5 days, respectively. For cases that proceeded to intervention, IVUS was used in 89% of cases, 80% received venoplasty, and 30% received stents. The mean number of MT passes was 4 and the mean contrast volume used was 71 mL. Flow was restored in 96.7% of cases. The procedure was unable to be completed in 1.8% of the cases, and 1.8% had a reported complication after the procedure. Vascular surgery was consulted in 64.4% of the cases, cardiology in 33%, interventional radiology in 12.5%, and 10.9% of the patients had multiple consults. MT was associated with postprocedure reduction of hemoglobin levels (13.4 vs 12.1; P < .001) and no change in postprocedure creatinine levels (1.08 vs 1.04; P = .28). IVUS was associated with fewer passes, although this was not statistically significant (P = .09). Additionally, IVUS was associated with increased stenting (P = .03) and venoplasty (P < .001). Conclusions: MT is shown to be successful in restoring venous flow and is utilized by multiple specialties in the treatment of DVT. Additionally, IVUS was widely used in conjunction with MT, and it was associated with increased advanced interventions, such as venoplasty and stent placement.http://www.sciencedirect.com/science/article/pii/S2772930324013760deep vein thrombosisintravascular ultrasoundmechanical thrombectomyvenous disease |
| spellingShingle | Sabina Kumar, MS, DO Brian Ballard, DO Umeh Chukwuemeka, MD Anthony Teta, MD Mustafa Turkmani, MD Anuraag Khandavalli, MD Samuel Reenders, MS, DO Arjun Chadha, MD Marian Canon, MD Saman Barznji, MD Jason Kaplan, MD Varun Yelamanchilli, MD Brandon Ballard, BS Mark Zainea, MD Jay Mohan, DO DETECT-DVT: Detroit Evaluation of Thrombectomy and Evaluation of Intravascular Ultrasound in Deep Vein Thrombosis Journal of the Society for Cardiovascular Angiography & Interventions deep vein thrombosis intravascular ultrasound mechanical thrombectomy venous disease |
| title | DETECT-DVT: Detroit Evaluation of Thrombectomy and Evaluation of Intravascular Ultrasound in Deep Vein Thrombosis |
| title_full | DETECT-DVT: Detroit Evaluation of Thrombectomy and Evaluation of Intravascular Ultrasound in Deep Vein Thrombosis |
| title_fullStr | DETECT-DVT: Detroit Evaluation of Thrombectomy and Evaluation of Intravascular Ultrasound in Deep Vein Thrombosis |
| title_full_unstemmed | DETECT-DVT: Detroit Evaluation of Thrombectomy and Evaluation of Intravascular Ultrasound in Deep Vein Thrombosis |
| title_short | DETECT-DVT: Detroit Evaluation of Thrombectomy and Evaluation of Intravascular Ultrasound in Deep Vein Thrombosis |
| title_sort | detect dvt detroit evaluation of thrombectomy and evaluation of intravascular ultrasound in deep vein thrombosis |
| topic | deep vein thrombosis intravascular ultrasound mechanical thrombectomy venous disease |
| url | http://www.sciencedirect.com/science/article/pii/S2772930324013760 |
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