Prof. Hui Zhuang and his team at the Affiliated Hospital of Cardiovascular Diseases of Xiamen University successfully performed thrombus removal surgery for two patients with lower extremity deep vein thrombosis by using a deep vein thrombolysis stent in combination with a suction catheter. Immediately after the surgery, imaging showed that the target lesion was unobstructed, and a large number of acute and subacute thrombi were removed, which made the surgery a success. This is the first batch of Fovene™ lower extremity DVT device registered in Fujian.
Case 1
1. Female, 75 years old
2. Complaint: left lower extremity swelling for more than 10 days
3. Imaging: diffuse filling defects in the left external iliac vein, femoral vein, popliteal vein, and left iliac vein with iliac vein compression syndrome.
4. Diagnosis: deep vein thrombosis of the left lower limb.
Preoperative imaging
Case 1 preoperative imaging
Surgical Procedure
Filters were placed preoperatively, and the Fovene™ thrombus removal device was accessed via the tibial vein to perform a thrombus extraction operation, removing a large amount of old thrombus with a blood loss of <60 ml, and a venous stent was implanted postoperatively.
Case 1 Removal of a large number of old thrombi
Postoperative Images
Case 1 postoperative imaging
Case 2
1. Female, 57 years old
2. Complaint: Swelling of the right lower limb for more than a week
3. Imaging: Diffuse filling defect seen in right femoral vein, popliteal vein
4. Diagnosis: Deep vein thrombosis of the left lower extremity
Preoperative imaging
Case 2 preoperative imaging
Surgical Procedure
The Fovene™ Thrombus Removal Device was accessed via the tibial vein to perform a thrombus extraction maneuver, removing a large amount of old thrombus with a blood loss of <100 ml.
Case 2 Removal of thrombus
Postoperative Images
Case 2 postoperative imaging
Summary
1. Both patients had mixed DVT with long segmental involvement. The Fovene™ thrombolytic device was inserted through the tibial vein, and the overall introduction process was smooth, and the performance of the device handling was stable and reliable;
2. Fovene™ thrombolytic device also shows excellent thrombolytic effect on subacute thrombus;
3. Fovene ™ thrombus removal device to remove the embolism process time is short, high efficiency, the length of the product intervention operation does not exceed 30 minutes, the patient's blood loss is low.
Prof. Hui Zhuang
Xiamen University Hospital for Cardiovascular Diseases
Director of Vascular Surgery, Affiliated Cardiovascular Hospital of Xiamen University. He is the editor of "Venous Endoluminal Therapy", "Cardiology Practice" and "Oxford Handbook of Vascular Surgery". He specializes in individualized and customized endoluminal treatment of aortic diseases, in surgical treatment of peripheral atherosclerotic occlusive disease and diabetic foot disease, and in endoluminal treatment of infrapopliteal arteries. He specializes in individualized treatment of congenital and acquired vascular malformations, comprehensive treatment of venous reflux disease of the lower limbs, and endoluminal treatment of pelvic venous insufficiency. She has presided over many provincial and departmental projects, and completed many national papers and SCI papers. He is a member of the Standing Committee of Vascular Surgery Branch of Fujian Provincial Medical Association; Vice Chairman of Vascular Surgery Branch of Fujian Straits Medicine and Health Exchange Association; Member of Lower Extremity Artery Committee of Vascular Surgery Committee of National Cardiovascular Disease Expert Committee; Member of Visceral Artery Group of Vascular Surgeon Branch of Physician Association; Member of Vascular Surgery Committee of Chinese Society of Research Hospitals; Member of Lower Extremity Artery Committee of International Vascular Alliance China; Member of China International Exchange of Medical Care. Member of Vascular Surgery Committee of China Society of Research Hospitals; Member of Lower Extremity Artery Specialty Committee of International Vascular Alliance China; Member of Venous Disease Treatment Group of Vascular Surgery Branch of China Association for the Promotion of International Exchange in Healthcare.
