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Longterm Results After Surgical Thrombectomy and Simultaneous Stenting for Symptomatic Iliofemoral Venous Thrombosis

Authors :
Alexander Hyhlik-Dürr
Drosos Kotelis
Nicolas Attigah
P. Hölper
Dittmar Böckler
Source :
European Journal of Vascular and Endovascular Surgery. (3):349-355
Publisher :
Published by Elsevier Ltd.

Abstract

Objectives To evaluate the longterm outcome of venous thrombectomy and simultaneous stenting in patients with acute, symptomatic iliofemoral deep venous thrombosis (DVT). Methods Between January 1996 and December 2007, a total of 45 patients underwent venous thrombectomy at our institution. Thrombectomy results were classified by intraoperative phlebography as: TYPE I = complete, TYPE II = partial, TYPE III = complete with stenosis other than thrombus, TYPE IV = permanent occlusion. TYPEs I and IV were excluded from this analysis because no endovascular repair was performed. 25 patients underwent a venous hybrid operation comprising balloon-catheter thrombectomy, thrombolysis and stenting of residual stensosis. Three TYPE 2 and 22 TYPE 3 lesions were diagnosed. Three patients died during follow-up from causes unrelated to their treatment. Three were lost to follow-up. Hence, 19 patients were examined. A retrospective, non comparative single-centre study was performed. Results Median follow-up was 68 months (range 3–129). Primary and secondary patency rates were 74% (14/19) and 84% (16/19), respectively. Re-thrombosis occurred within seven days of operation in 26% (5/19). Procedure related mortality was zero. There was no case of late re-thrombosis. Four patients showed post-thrombotic sequelae (CEAP: C1, 2 or 3 s). No leg ulcer developed in any patient. Conclusion Venous thrombectomy with simultaneous stenting results in excellent longterm results in selected patients with symptomatic iliofemoral venous thrombosis.

Details

Language :
English
ISSN :
10785884
Issue :
3
Database :
OpenAIRE
Journal :
European Journal of Vascular and Endovascular Surgery
Accession number :
edsair.doi.dedup.....cdfd1e5e27b5d6d972c1584ff8ef7f66
Full Text :
https://doi.org/10.1016/j.ejvs.2009.09.028