[Thrombectomy after unsuccessful thrombolytic therapy of deep leg vein thromboses: an effective procedure?].
Lysis of acute thromboses of the pelvic and deep lower leg veins is not always successful. According to the literature, 11-20% of the cases remain occluded. In such cases the majority of authors continue therapy with anticoagulants (heparin, dicumarol). 31 thromboses which had been unsuccessfully treated by lysis were subsequently thrombectomized after a few hours. All external iliac veins could be opened. The amount of occluded common iliac veins could be reduced from 94% to 16%. In 19% a stenosis due to a venous spur remained. The complete patency rate of the extremity veins could be improved by 55%. This shows that a marked improvement of the primary patency rate could be reached despite the failed lysis. This is a prerequisite of a favourable longtime result. An evaluation of the late results is planned and will be published at a later date.
Stiegler
H
H
Chirurgische Klinik und Poliklinik, Klinikum Grosshadern, Universität München.
Hiller
E
E
Arbogast
H
H
Heim
G
G
Schildberg
F W
FW
D000293:Adolescent; D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D015912:Thrombolytic Therapy; D013924:Thrombophlebitis / Q000601:surgery*
Thrombektomie nach erfolgloser Lysetherapie tiefer Bein-Beckenvenenthrombosen: ein sinnvolles Verfahren?