[Thrombectomy of the infra- and suprarenal cava to prevent pulmonary embolism in the presence of deep venous thrombosis. Personal experience with 11 surgically-treated cases].
DVT is a fairly frequent event and often fails to be recognised. Its main complication, pulmonary embolism, is the third cause of death in Italy with more than 70,000 deaths per annum. In the presence of infra- and suprarenal floating thrombi, cases in which the application of neither intraluminal nor extraluminal filters is indicated, the treatment of choice is thrombectomy with direct surgical access to the cava. Personal experience of 11 patients operated in the past 16 months with excellent surgical success is analysed. The indications and surgical techniques adopted are described.
Giorgetti
P L
PL
Istituto Chirurgia Generale e Cardiovascolare, Università di Milano.
Arpesani
A
A
Bortolani
E M
EM
Rignano
A
A
Morbidelli
A
A
Vandone
P L
PL
Miani
S
S
D000328:Adult; D005260:Female; D006801:Humans; D007668:Kidney; D008297:Male; D011655:Pulmonary Embolism / Q000517:prevention & control*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery*
Trombectomia della cava infra- e soprarenale quale prevenzione dell'embolia polmonare in presenza di TVP. Esperienza personale su 11 casi operati.