Society of Interventional Radiology介入放射学会.pptVIP

Deep Vein Thrombosis 900,000 patients diagnosed annually USA Probably the same number again undiagnosed Treatment has barely altered in 40 years Bed Rest Anticoagulation Anticoagulation does NOT attack the clot, it merely decreases the risk of spread of that clot Interventional Radiology has been at the forefront of more aggressive therapies Catheter Directed Thrombolysis- CDT- (1994) Catheter Directed Thrombolysis Basically anti clot drugs dripped in through a small garden hose type system over an average of 2-3 days Needs ICU bed/ frequent lab checks/ trips to IR Small risk of bleeding Good results Pharmaco-mechanical thrombectomy (PMT) A combination of Physical maceration of the clot Drug dispersal through clot Aspiration of that clot out of the body Case 1 60 year old lady Failed traditional therapy for DVT Left leg massively swollen after 6 weeks of this treatment Referred to Interventional Radiology for Trellis treatment Case 2 57 year old construction worker Never sick in his life Right leg felt heavy Went to doctor, sent for Ultrasound scan “Negative for DVT” 2 days later right leg felt worse Came to ER Referred directly to Interventional Radiology Take home points Interventional Radiologists are experts in management of Deep Vein Thrombosis IR doctors can help primary physicians determine the best course of action for particular patients If leg is tense or blue IMMEDIATE referral is mandatory Treatment using the Trellis isolated thrombolysis catheter is QUICK, SAFE and EFFECTIVE DVT patients across America deserve better!! * Isolated Thrombolysis for DVT DVT Treatment with the Trellis? Peripheral Infusion System Manufacturer’s Registry Report Gerard J. O’Sullivan MD Mahmood Razavi MD Trellis Peripheral Infusion System Designed for single-setting DVT thrombolysis Treatment area isolated within occluding balloons Targeted delivery of thrombolytic agents Mechanical dispersion of infused thrombolytic agents Aspiration following treatment Data Set 827 v