The venous thrombectomy: obsolete or forgotten?
This report describes the surgical management of three patients with an extended ilio-femoral deep venous thrombosis. In the first patient a residual occlusion of the common iliac vein was treated conservatively and this patient developed severe chronic venous insufficiency. In the second patient a residual (sub)occlusion of the common iliac vein was treated with a stent and this patient remained asymptomatic with two years follow-up. In the third patient no residual or underlying anatomical abnormality was found with a good result at one year. Venous thrombectomy still has a place in the treatment of deep venous thrombosis and the long term results may be improved by application of endovascular techniques.
Lacroix
H
H
Department of Vascular Surgery University Hospital Gasthuisberg Leuven, Belgium.
Van Belle
K
K
Nevelsteen
A
A
Suy
R
R
D000328:Adult; D005260:Female; D005268:Femoral Vein / Q000601:surgery*; D006801:Humans; D007084:Iliac Vein / Q000601:surgery*; D008875:Middle Aged; D010690:Phlebography; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D015607:Stents; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D014689:Venous Insufficiency / Q000209:etiology