Table 31:
Duration of Thrombolytic Infusion With Mechanical Thrombectomy Use in Acute and Subacute DVT in Randomized Controlled Trials
| Author, year | Outcome measurement | Results | P value | |
|---|---|---|---|---|
| MT | Comparator | |||
| PMT (AngioJet) | ||||
| ATTRACT trial90 (PMT vs. infusion first rtPA group) |
rtPA duration | AngioJet group: 20 h (SD ± 5.3) | Infusion first group, rtPA only: 22 h (SD ± 6.5) |
P = .009 |
| Proportion with procedural length < 4h | 45% (n = 34) | 0% (n = 194) | NR | |
| Vacuum Aspiration (Indigo) | ||||
| No randomized studies met our inclusion criteria for this MT device | ||||
| Rotational (Rotarex or Cleaner) | ||||
| No randomized controlled trials met our inclusion criteria for this MT device | ||||
| Ultrasound Assisted (EKOS) | ||||
| No randomized studies met our inclusion criteria for this MT device | ||||
Abbreviations: ATTRACT, Acute Venous Thrombosis: Thrombus Removal with Adjunctive Catheter-Directed Thrombolysis; MT, mechanical thrombectomy; NR, not reported; PMT, pharmacomechanical thrombectomy; SD, standard deviation.