title: Open surgical treatment for postthrombotic syndrome.
abstract: The postthrombotic syndrome counts as a frequent long-term complication after deep vein thrombosis with approximately 20%-50% of affected patients after deep vein thrombosis. The earliest that diagnosis of postthrombotic syndrome can be made is 6 months after deep vein thrombosis. Most patients suffer from swelling and chronic pain. In all, 5%-10% of patients may even develop venous ulcers. The complex etiology consists of limited venous drainage because of chronic occlusions and secondary insufficiencies of venous valves inducing non-physiological venous reflux. Conservative management, first of all compression therapy, is of crucial importance in treatment of postthrombotic syndrome. Endovascular and open surgical techniques can additionally be used in a small subgroup of patients. Although rarely performed, this article illuminates the open surgical techniques in treatment of postthrombotic syndrome such as venous bypass surgery, valve repair and varicose vein surgery.
authors.affiliation: University Medical Center Hamburg-Eppendorf, University Heart Center Hamburg, Department of Vascular Medicine, Martinistr, Hamburg, Germany ch.behrendt@uke.de.
authors.forename: Christian-Alexander
authors.initials: CA
authors.lastname: Behrendt
authors.affiliation: University Medical Center Hamburg-Eppendorf, University Heart Center Hamburg, Department of Vascular Medicine, Martinistr, Hamburg, Germany.
authors.forename: Franziska
authors.initials: F
authors.lastname: Heidemann
authors.affiliation: University Medical Center Hamburg-Eppendorf, University Heart Center Hamburg, Department of Vascular Medicine, Martinistr, Hamburg, Germany.
authors.forename: Henrik Christian
authors.initials: HC
authors.lastname: Rieß
authors.affiliation: University Medical Center Hamburg-Eppendorf, University Heart Center Hamburg, Department of Vascular Medicine, Martinistr, Hamburg, Germany.
authors.forename: Edgar
authors.initials: E
authors.lastname: Kleinspehn
authors.affiliation: University Medical Center Hamburg-Eppendorf, University Heart Center Hamburg, Department of Vascular Medicine, Martinistr, Hamburg, Germany.
authors.forename: Tobias
authors.initials: T
authors.lastname: Kühme
authors.affiliation: University Medical Center Hamburg-Eppendorf, University Heart Center Hamburg, Department of Vascular Medicine, Martinistr, Hamburg, Germany.
authors.forename: Gülsen
authors.initials: G
authors.lastname: Atlihan
authors.affiliation: Klinik Fleetinsel, Department of Vascular Surgery, Hamburg, Germany.
authors.forename: Christiane
authors.initials: C
authors.lastname: Gebhardt
authors.affiliation: University Medical Center Hamburg-Eppendorf, University Heart Center Hamburg, Department of Vascular Medicine, Martinistr, Hamburg, Germany.
authors.forename: Eike Sebastian
authors.initials: ES
authors.lastname: Debus
mesh_terms: D006801:Humans; D054070:Postthrombotic Syndrome / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: Postthrombotic syndrome; valvuloplasty; varicose vein surgery; venous bypass; venous ulcers