Abstract | PURPOSE: METHODS: Between 1996 and 2000, 57 patients underwent transfemoral venous thrombectomy for acute iliofemoral thrombosis. 30 patients were reexamined after a mean of 60.4 months. At follow-up, the patency of the venous segments as well as the development of reflux was investigated by duplex-ultrasound. Furthermore, clinical signs and symptoms of chronic venous insufficiency as well as the subjective satisfaction of the patients with the operation were recorded. RESULTS: Postoperatively the veins of the lower leg were completely recanalized in 25 % of the cases, those of the thigh in 52.3 %. The patency rate at the level of the groin, the pelvis and the caval vein were 92.5, 86 and 100 %, respectively. At follow-up, the veins of the lower limb, the thigh and the pelvis were patent in 76.7 % each and in 73.3 % at groin-level. The caval vein was completely recanalized in all cases. Reflux occurred in 12 patients. 26.7 % of the patients showed no signs of a postthrombotic syndrome. 63.3 % had mild changes including dilated superficial veins and swelling tendency, and only in 10 % trophic skin changes were apparent. A healed or active ulceration did not occur in any case. Except one, all patients were satisfied with the results of the thrombectomy. CONCLUSIONS:
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Authors | M Kamphausen, L Barbera, A Mumme, B Marpe, M Grossefeld, G Asciutto, B Geier |
Journal | Zentralblatt fur Chirurgie
(Zentralbl Chir)
Vol. 130
Issue 5
Pg. 454-61; discussion 461-2
(Oct 2005)
ISSN: 0044-409X [Print] Germany |
Vernacular Title | Klinische und funktionelle Ergebnisse nach transfemoraler Thrombektomie bei tiefer Bein- und Beckenvenenthrombose: ein 5-Jahres-Follow-up. |
PMID | 16220443
(Publication Type: English Abstract, Journal Article)
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Topics |
- Adult
- Aged
- Female
- Femoral Vein
(surgery)
- Follow-Up Studies
- Humans
- Iliac Vein
(surgery)
- Male
- Middle Aged
- Postoperative Complications
(prevention & control)
- Postphlebitic Syndrome
(prevention & control)
- Thrombectomy
(methods)
- Venous Thrombosis
(surgery)
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