title: [Veinous thrombectomy. Six case reports].
abstract: The aim of this study is to raise up the effect of surgical thrombectomy among other alternative therapies. This retrospective study reports 6 patients (mean age 63 years) admitted with phlegmasia cerulea dolens. All patients underwent surgical venous thrombectomy associated with infracava filter insertion in 2 cases. One patient died in the early postoperative course. In all other cases we noticed good early and late outcome both on clinical examination and duplex scanning assessment. In conclusion, surgical venous thrombectomy can be considered as a good and efficient procedure in the presence of phlegmasia cerulea dolens in order to relieve ischemia and to prevent whenever possible severe chronic venous disorders. However, fibrinolytic therapy might achieve as good results as surgery. Thus, the latter is to be reserved to very severe veinous ischemia with limb loss threatening where fibrinolytic therapy fails or is contre-indicated.
authors.affiliation: Service de Chirurgie Cardio-vasculaire, Hôpital La Rabta, Tunis, Tunisie.
authors.forename: Abdelfettah
authors.initials: A
authors.lastname: Abid
authors.forename: Raouf
authors.initials: R
authors.lastname: Denguir
authors.forename: Karim
authors.initials: K
authors.lastname: Kaouel
authors.forename: Mourad
authors.initials: M
authors.lastname: Hakim
authors.forename: Imed
authors.initials: I
authors.lastname: Khanfir
authors.forename: Taoufik
authors.initials: T
authors.lastname: Kalfat
authors.forename: Adel
authors.initials: A
authors.lastname: Khayati
mesh_terms: D000328:Adult; D000368:Aged; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000628:therapy; D008297:Male; D012189:Retrospective Studies; D017131:Thrombectomy / Q000379:methods*; D016896:Treatment Outcome; D016306:Vena Cava Filters; D020246:Venous Thrombosis / Q000601:surgery*
vernacular_title: La thrombectomie veineuse. A propos de 6 cas.