|
Percutaneous mechanical thrombectomy for deep vein thrombosis |
HAYES, Inc. |
|
|
Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc.. Percutaneous mechanical thrombectomy for deep vein thrombosis. Lansdale: HAYES, Inc.. Directory Publication. 2016 Authors' conclusions Percutaneous mechanical thrombectomy (PMT) involves the mechanical removal of a thrombus or embolism from the vascular system using percutaneous access. PMT devices utilize various mechanisms to disrupt and remove thromboembolisms, including rheolytic, rotational, and ultrasound-assisted systems. PMT is often used in concert with local application of thrombolytic drugs. The objectives of using PMT to treat a patient with deep vein thrombosis (DVT) are to remove the clot, restore venous patency, and preserve valve function; to prevent pulmonary embolization of a clot to the lung, which can be fatal; and to reduce the risk of post-thrombotic syndrome (PTS). Controversy: Because PMT is a physical intervention, it may be advantageous over oral or parenteral anticoagulation alone in emergency situations where there is not enough
time for the drugs to work, when anticoagulation alone fails to remove the clot, or when anticoagulation is contraindicated. However, the technology is invasive and relatively new, warranting assessment of effectiveness, safety, and the performance of the different commercially available devices. Possible risks of PMT include damage to venous endothelium and valves, as well as pulmonary embolism (PE) following thrombus breakup.
Relevant Questions: For patients with DVT, is PMT effective for eliminating thromboses and emboli, restoring blood flow and vascular function, and reducing the risk of PE and PTS? Are PMT devices safe for DVT? How do PMT devices compare with other standard treatments for DVT alone and in combination? Have definitive patient selection criteria been established for PMT for treatment of DVT? Indexing Status Subject indexing assigned by CRD MeSH Humans; Thrombectomy; Venous Thrombosis Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218 Email: hayesinfo@hayesinc.com AccessionNumber 32016000983 Date abstract record published 31/08/2016 |
|
|
|