Back to Search
Start Over
Longterm Results After Surgical Thrombectomy and Simultaneous Stenting for Symptomatic Iliofemoral Venous Thrombosis
- 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.
- Subjects :
- Male
Time Factors
medicine.medical_treatment
Constriction, Pathologic
Iliac Vein
urologic and male genital diseases
Recurrence
Occlusion
Thrombolytic Therapy
Thrombectomy
Medicine(all)
Venous Thrombosis
Ultrasonography, Doppler, Duplex
Venous stenting
Thrombolysis
Middle Aged
May–Thurner syndrome
Combined Modality Therapy
Venous thrombosis
Treatment Outcome
cardiovascular system
Deep venous thrombosis
Female
Stents
Radiology
Cardiology and Cardiovascular Medicine
Venous spur
Adult
medicine.medical_specialty
Adolescent
May-Thurner syndrome
Young Adult
medicine
Humans
In patient
cardiovascular diseases
ddc:610
Thrombus
Vascular Patency
Aged
Retrospective Studies
business.industry
Angioplasty
Angiography, Digital Subtraction
Phlebography
Femoral Vein
Venous thrombectomy
medicine.disease
Hybrid
Surgery
body regions
Stenosis
Feasibility Studies
business
Tomography, X-Ray Computed
human activities
Subjects
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