{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T07:38:09Z","timestamp":1724312289667},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T00:00:00Z","timestamp":1720137600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T00:00:00Z","timestamp":1720137600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"the Scientific Research Project of Shanghai Municipal Health Commission","award":["No.202240388","No.202240388","No.202240388","No.202240388","No.202240388","No.202240388","No.202240388","No.202240388"],"award-info":[{"award-number":["No.202240388","No.202240388","No.202240388","No.202240388","No.202240388","No.202240388","No.202240388","No.202240388"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>To compare the treatment outcomes among percutaneous mechanical thrombectomy (PMT) with AngioJet, Catheter-directed thrombolysis (CDT), and a combination of both.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>One hundred forty nine patients with acute or sub-acute iliac-femoral vein thrombosis accepting CDT and\/or PMT were divided into three groups respectively: PMT group, CDT group, PMT\u2009+\u2009CDT group (PMT followed by CDT). The severity of thrombosis was evaluated by venographic scoring system. Technical success was defined as restored patent deep venous blood flow after CDT and\/or PMT. Clinical follow-up were assessed by ultrasound or venography imaging. The primary endpoints were recurrence of DVT, and severity level of post-thrombotic syndrome (PTS) during the follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Technical success and immediate clinical improvements were achieved on all patients. The proportion of sub-acute DVT and the venographic scoring in PMT\u2009+\u2009CDT group were significantly higher than that in CDT group and PMT group (proportion of sub-acute DVT: <jats:italic>p<\/jats:italic>\u2009=\u20090.032 and <jats:italic>p<\/jats:italic>\u2009=\u20090.005, respectively; venographic scoring: <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001, respectively). The proportion of May-Thurner Syndrome was lower in PMT group than that in CDT and PMT\u2009+\u2009CDT group (<jats:italic>p<\/jats:italic>\u2009=\u20090.026 and <jats:italic>p<\/jats:italic>\u2009=\u20090.005, respectively). The proportion of DVT recurrence\/stent thrombosis was significantly higher in CDT group than that in PMT\u2009+\u2009CDT group (<jats:italic>p<\/jats:italic>\u2009=\u20090.04). The severity of PTS was the highest in CDT group ( \u03c7<jats:sup><jats:italic>2<\/jats:italic><\/jats:sup>\u2009=\u200914.459, <jats:italic>p<\/jats:italic>\u2009=\u20090.006) compared to PMT group (<jats:italic>p\u2009<\/jats:italic>=\u20090.029) and PMT\u2009+\u2009CDT group (<jats:italic>p<\/jats:italic>\u2009=\u20090.006).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Patients with sub-acute DVT, high SVS scoring and combined May-Thurner Syndrome were recommended to take PMT\u2009+\u2009CDT treatment and might have lower rate of DVT recurrence\/stent thrombosis and severe PTS. Our study provided evidence detailing of PMT\u2009+\u2009CDT therapy.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-024-02908-3","type":"journal-article","created":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T06:02:08Z","timestamp":1720159328000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Which one is the best in treating deep venous thrombosis \u2014\u2014 percutaneous mechanical thrombectomy, catheter-directed thrombolysis or combination of them?"],"prefix":"10.1186","volume":"19","author":[{"given":"Hao","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao-ye","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia-si","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shi-bo","family":"Xia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao","family":"Song","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing-sheng","family":"Lu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,7,5]]},"reference":[{"issue":"23 Suppl 1","key":"2908_CR1","first-page":"I22","volume":"107","author":"C Kearon","year":"2003","unstructured":"Kearon C. 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