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May 24-25, 2018
London, UK
Vascular Surgery 2018
3
rd
Edition of World Congress & Exhibition on
Vascular Surgery
Journal of Vascular and Endovascular Therapy
ISSN: 2573-4482
Statement of the Problem:
Chronic post-thrombotic syndrome
(CPTS) refers to chronic clinical manifestations of venous
insufficiency after deep venous thrombosis. CPTS is the most
important consequence of CDVT, which develops in 20% to 50% of
patients after proximal CDVT (popliteal and above CDVT) despite
optimal anticoagulation therapy.
Methodology &Theoretical Orientation:
We report the successful
percutaneous management of extensive lower-extremity deep
venous thrombosis (DVT) in 70 lower limbs (68 of them acute/
subacute DVT and 2 CDVT) of consecutive 69 patients using
pharmaco-mechanical thrombectomy. A 14F introducer sheath
was inserted through the popliteal vein followed by rotational
and aspiration thrombectomy. Balloon angioplasty was
performed when needed. No stent insertion was added. Routine
percutaneous pharmaco-mechanical treatment was performed in
acute and/or subacute DVT and atherectomy with pharmacologic
treatment were performed in CDVT.
Findings:
From 2014 to 2017, single-session percutaneous
endovenous pharmaco-mechanic thrombectomy was performed
in 70 lower limbs of 69 patients (42 men; mean age: 41.8 years)
withDVT. DVTwas in subacute forms in 20 patients, and in chronic
(1 patient with two limbs). Technical success rate was 97.1%
(68 of 70 limbs). Among the 68 limbs, thrombectomy alone was
performed in 62 (91.1%) limbs; additional balloon angioplasty of
the femoral vein was performed in 6 patients. One patient with
two limbs (chronic DVT) was performed thrombectomy with
arterial atherectomy device with aspiration as well as balloon
angioplasty.
Conclusion & Significance:
Percutaneous endovenous
thrombectomy is feasible and effective for patients with acute
and subacute deep vein thrombosis. More patients with chronic
DVT could be treated by revised-atherectomy device in the near
future.
Recent Publications
1. Akgul A, Kus Gamze, Mustafaoglu Rustem and
Karaborklu Argut Sezen (2018) Is video-based education
an effective method in surgical education? A systematic
review. Journal of Surgical Education, doi: 10.1016/j.
jsurg.2018.01.014.
2. Akgül A, Cirak M and Birinci T (2016) Applications
of platelet-rich plasma in lymphedema. Lymphatic
Research and Biology 14(4):206-209.
3. Akgul A, Guner B, Çırak M, Çelik D, Hergünsel O and
Bedirhan S (2016) The beneficial effect of hypnosis in
elective cardiac surgery: a preliminary study. Journal of
Thoracic and Cardiovascular Surgery 64(7):581-588.
4. Akgul A, Gursoy M, Bakuy V, Komurcu G, Caglar I M and
Gulmaliyev J (2013) Spontaneous triple coronary artery
dissection. Annals of Thoracic Surgery 95:1443-5.
5. Akgul A, Gursoy M, Bakuy V, Polat E B, Kmurcu I G, Kavala
A A, Turkyilmaz S, Caglar I M, Tekdos Y, Atay M, Altun S,
Gulmaliyev C and Memmmedov S (2013) Comparison of
standard euroscore, logistic euroscore and euroscore II
in prediction of early mortality following coronary artery
bypass grafting. Anadolu Kardiology Derg 13(5):425-31
Biography
Ahmet Akgul has graduated from Ankara University Medical School in 1997.
He had completed his Postdoctoral residence and fellowship in the Michael
E DeBakey Department of Surgery at Baylor College of Medicine in Houston,
Texas. In 2004 in addition to his Chief Assistant position, he also served as an
Editor in
Turkiye Klinikleri Journal of Medical Sciences
. In 2009 he was charged
with establishing Heart and Vascular Surgery clinic at Istanbul Bakirkoy Dr.
Sadi Konuk Hospital where he performed his works as founding clinic chief.
Due to the increasing aging population in Turkey and this senior group being
the majority of the heart and vascular diseases patients, he has established
the Department of Gerontology in Istanbul University. In doing so he had re-
ceived his Professorship and the title of Founding Department Head.
aakgul@hotmail.comDeep venous thrombosis: from acute to chronic pharmaco-
mechanic thrombectomy process
Ahmet Akgul
1, 2
, Ali Aycan Kavala
2
, Saygın Türkyılmaz
2
and
Musa Cirak
3
1
Istanbul University, Turkey
2
Bakırkoy Dr. Sadi Konuk Training and Research Hospital, Turkey
Ahmet Akgul et al., J Vasc Endovasc Therapy 2018, Volume 3
DOI: 10.21767/2573-4482-C1-002