Longterm results after surgical thrombectomy and simultaneous stenting for symptomatic iliofemoral venous thrombosis
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. Th...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
[March 2010]
|
| In: |
European journal of vascular and endovascular surgery
Year: 2010, Volume: 39, Issue: 3, Pages: 349-355 |
| ISSN: | 1532-2165 |
| DOI: | 10.1016/j.ejvs.2009.09.028 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.ejvs.2009.09.028 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1078588409005437 
|
| Author Notes: | P. Hölper, D. Kotelis, N. Attigah, A. Hyhlik-Dürr, D. Böckler (Department of Vascular and Endovascular Surgery, Ruprecht-Karls University Heidelberg) |
| Summary: | 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 3s). 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. |
|---|---|
| Item Description: | Available online 8 January 2010 Gesehen am 06.03.2023 |
| Physical Description: | Online Resource |
| ISSN: | 1532-2165 |
| DOI: | 10.1016/j.ejvs.2009.09.028 |