[The diagnostic value of angioscopy in venous thrombectomy].
Since 1983 angioscopy was applied as a control method in 187 venous thrombectomies to improve the treatment of acute iliofemoral thrombosis. In a retrospective study we tried to show the impact of angioscopy intraoperatively and the influence on long-term results. Thrombectomy was performed in 97 patients affected at three levels, in 50 cases with pelvic-femoral, in 35 with pelvic and in 43 with femoro-tibial thrombosis. The average clinical age of the thrombosis was 5 days, 66% of the patients (age 39 years) were female. The endoscopic findings were compared with phlebological results after one year using a phleboscore between 0 points (occlusion) and 5 points (normal). The phlebographies were analyzed so that the functional status of the vein was represented. After venous thrombectomy 42.8% of the cases were endoscopically classified complete but in 57.2% residual clots were observed. It was possible to completely (24.6%) or partly (18.7%) remove these clots by further thrombectomy maneuvers, non removable remnants were found in 7.5% and a venous spur in 6.4%. The statistical analysis with Kruskal-Wallace test showed significant differences in venous morphology between the endoscopically complete thrombectomies and those with residual clots. After a follow-up period of 30 months (12-64) the clinical results were very good. In 58% we observed normal findings, a cvi grade I in 35%, grade II in 4%. Crural ulcers had developed in only 3%. From our data we conclude that endoscopy is an excellent method for intraoperative quality-control in venous thrombectomy.
Wack
C
C
Klinik für Gefäss-und Thoraxchirurgie, Zentralklinikum Augsburg.
Wölfle
K D
KD
Weber
H
H
Bruijnen
H
H
Loeprecht
H
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D017546:Angioscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D012189:Retrospective Studies; D017131:Thrombectomy; D013924:Thrombophlebitis / Q000175:diagnosis / Q000601:surgery*
Diagnostischer Stellenwert der Angioskopie bei der venösen Thrombektomie.