{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T22:56:56Z","timestamp":1780095416922,"version":"3.54.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T00:00:00Z","timestamp":1748390400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Hangzhou Medical College Science and Technology Innovation Guiding Fund Project","award":["CX202313"],"award-info":[{"award-number":["CX202313"]}]},{"name":"NINGBO Leading Medical & Health Discipline","award":["2022-F21"],"award-info":[{"award-number":["2022-F21"]}]},{"name":"Research Project on Medical Quality (Evidence-Based) Management","award":["YLZLXZ23G057"],"award-info":[{"award-number":["YLZLXZ23G057"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the efficacy and safety of the AcoStream device (Acotec Scientific, Beijing, China) when used in combination with other endovascular therapies in patients with deep vein thrombosis (DVT) in a lower extremity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-center retrospective study included 126 consecutive patients who were treated for DVT at our institution between December 2022 and August 2024. Mechanical aspiration of thrombus using the AcoStream device was performed under local anesthesia in all cases. Residual thrombus of &gt;30% after aspiration mechanical thrombectomy was treated by catheter-directed thrombolysis. Percutaneous balloon dilatation and stent implantation were performed in the event of residual iliac vein stenosis of &gt;50%. We analyzed related indices during aspiration mechanical thrombectomy and evaluated the early outcome during follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Technical success (&gt;70% resolution of thrombus) was achieved in 110 patients (87.3%). Seventy-six patients (60.3%) also underwent catheter-directed thrombolysis (mean duration 4.47 \u00b1 2.69\u00a0days and mean urokinase dose 33.19 \u00b1 9.58 *10,000\u00a0IU per day), and 71 (56.3%) also underwent balloon dilatation and stent implantation. The mean decrease in hemoglobin after aspiration mechanical thrombectomy was 15.20 \u00b1 10.21\u00a0g\/L. There were no major complications. The median follow-up duration was 7.87 \u00b1 3.56\u00a0months. The primary patency rate was 92.9% (117\/126). Thrombus recurred in five patients (in-stent thrombosis,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4; re-thrombosis,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1) and was treated successfully by catheter-directed thrombolysis. Post-thrombotic syndrome occurred in 7.1% of patients, including one with a venous ulcer.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings of this study indicate that use of the AcoStream device combined with other endovascular therapies is a feasible and effective treatment for DVT with a high technical success rate and satisfactory short-term results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381251347865","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:15:58Z","timestamp":1748477758000},"page":"383-389","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Early outcome of percutaneous mechanical thrombectomy using the AcoStream device in combination with other endovascular therapies for deep vein thrombosis in a lower extremity"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7911-6804","authenticated-orcid":false,"given":"Zuanbiao","family":"Yu","sequence":"first","affiliation":[{"name":"Ningbo No. 2 Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiequan","family":"Yang","sequence":"additional","affiliation":[{"name":"Ningbo No. 2 Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Cai","sequence":"additional","affiliation":[{"name":"The Third People\u2019s Hospital Health Care Group of Cixi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Songjie","family":"Hu","sequence":"additional","affiliation":[{"name":"Ningbo No. 2 Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Di","family":"Wang","sequence":"additional","affiliation":[{"name":"Ningbo No. 2 Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yafang","family":"Shao","sequence":"additional","affiliation":[{"name":"Ningbo No. 2 Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dehai","family":"Lang","sequence":"additional","affiliation":[{"name":"Ningbo No. 2 Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,28]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3026(15)00248-3"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2023.03.017"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1615066"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3026(19)30209-1"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0255539"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2021.07.017"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/jth.13909"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2022.10.011"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2023.09.087"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2020.01.016"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/03000605211022941"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2018.06.016"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2024.03.010"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/17085381241242164"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/17085381241240865"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/1708538120958595"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2013.09.030"},{"issue":"1","key":"e_1_3_3_19_2","first-page":"40","article-title":"Combined catheter-directed thrombolysis and iliac vein recanalization for iliac vein compression syndrome with secondary acute deep vein thrombosis: effectiveness and long-term outcome","volume":"35","author":"Cui YF","year":"2016","unstructured":"Cui YF, Fu YF, Liu HT, et al. Combined catheter-directed thrombolysis and iliac vein recanalization for iliac vein compression syndrome with secondary acute deep vein thrombosis: effectiveness and long-term outcome. Int Angiol 2016; 35(1): 40\u201346.","journal-title":"Int Angiol"},{"issue":"2","key":"e_1_3_3_20_2","first-page":"e4152","article-title":"Efficacy and safety of catheter-directed thrombolysis in preventing post-thrombotic syndrome: a meta-analysis","volume":"11","author":"Alhazmi L","year":"2019","unstructured":"Alhazmi L, Moustafa A, Mangi MA, et al. Efficacy and safety of catheter-directed thrombolysis in preventing post-thrombotic syndrome: a meta-analysis. 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