A Research Protocol on Efficacious Evaluation of Thrombus Recanalization Techniques Employing Pigtail Catheter versus Spray Catheter for Vessel Patency in Acute Iliofemoral Deep Venous Thrombosis — A Randomized Controlled Trial
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Date
2024-11
Journal Title
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Publisher
THE INDIAN MEDICAL ASSOCIATION
Abstract
Background : Iliofemoral Deep Vein Thrombosis involves either partial or total occlusion of iliac and/or common femoral vein led by intravascular thrombus causing obstruction of resultant lumen. Venous valvular incompetence is one of the common factors leading to Deep Venous Thrombosis making it a vicious circle. Now-a-days, the concept of pharmacomechanical catheter directed thrombolysis is being utilised to treat Deep Venous Thrombosis of the lower limbs. The present study compares two thrombus recanalization techinques in iliofemoral deep vein thrombosis with respect to vessel patency. Materials and Methods : In a randomised controlled parallel group trial, subjects (n=80) with acute iliofemoral Deep Venous Thrombosis will be enrolled into two groups A and B with 1:1 ratio of allocation. Group A will be subjected to spray catheter thrombus recanalization and group B will be subjected to pigtail catheter thrombus recanalization techniques. Follow-up will be on a periodic basis till 9 months. Primary outcome will be vascular patency representing anterograde flow across thrombosed vascular segment. Purpose of the study : The outcomes of the current study will analyse the patency percentage of thrombosed iliofemoral venous segments after spray catheter and pigtail catheter thrombus recanalization techniques with respect to anterograde vascular flow. Expected clinical implications : This study attempts to investigate the outcomes of two thrombus recanalization techniques at different points in the timeline up to 9 months with reference to vascular patency in terms of the anterograde flow across the thrombus site.
Description
Keywords
Thrombus Recanalization, Pigtail Catheter, Spray Catheter, Vessel Patency, Acute Iliofemoral, Deep Venous Thrombosis
Citation
Arora Sakshi Pritam, Mishra Gaurav V, Banode Pankaj, Dass Abhilasha, Banode Priyanka, Naqvi Waqar M, Rathi Rajkiran Kanhaiya . A Research Protocol on Efficacious Evaluation of Thrombus Recanalization Techniques Employing Pigtail Catheter versus Spray Catheter for Vessel Patency in Acute Iliofemoral Deep Venous Thrombosis — A Randomized Controlled Trial. Journal of the Indian Medical Association. 2024 Nov; 122(11): 66-69