Clinical application study on thrombectomy of iliac-femoral venous thrombosis via trans-jugular approach

Objective: To evaluate the efficiency of thrombectomy of iliac-femoral venous thrombosis (I-FVT) via trans-jugular approach. Methods: Seven patients with I-FVT were treated with implantation of inferior vena caval filter, balloon-directed drag, and catheter-directed suction. Some patients were treated with PTA and stent. Meanwhile, strict anti-coagulation was necessary. Results: Thrombectomy via trans-jugular was successful in all 7 patients. The iliac- femoral veins were patent after the operation and swollen symptom of lower limb disappeared. There was swollen of the lower limb in 1 patient after treatment. Symptom disappeared after PTA or stent treatment again. There were no serious complications. Follow-up study showed no pulmonary embolization or recrudescence in all 7 patients. Conclusion: Thrombectomy via trans-jugular approach is a safe and effective method for the treatment of I-FVT