Volume 21, Issue 3 (11-2007)                   Med J Islam Repub Iran 2007 | Back to browse issues page


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Mozafar M, Talebianfar M. Long-term outcome of transfemoral thrombectomy in patients with acute iliofemoral vein thrombosis. Med J Islam Repub Iran. 2007; 21 (3) :154-157
URL: http://mjiri.iums.ac.ir/article-1-329-en.html

Associate Professor of General Surgery Shahid Beheshti University of Medical Sciences, Shohada-e-TajrishMedical Center, Ghods Square, Tehran, Iran , mohamad_mozafar@yahoo.com
Abstract:   (3003 Views)

 Abstract

 Background: The optimal therapy of acute iliofemoral venous thrombosis is still a matter of debate. The purpose of our study was to evaluate the late results of iliofemoral thrombectomy with regard to the prevention of the development of a Post Thrombotic Syndrome (PTS).

 Methods: During 2000-2003, 18 patients underwent transfemoral venous thrombectomy for acute iliofemoral venous thrombosis. 16 patients were reexamined after a 5-year follow-up. At follow-up, the patency of venous segments as well as the development of reflux was investigated by duplex-ultrasound. Furthermore, clinical signs and symptoms of PTS in patients were recorded.

 Results: Clinical pulmonary emboli did not occur in the perioperative period. Two patients died because of disseminated metastatic cancer and another after massive retroperitoneal bleeding due to anticoagulation therapy. In a 5-year follow up, 31% had valvular reflux. Venous patency rate was 75%. The rate of PTS was 37.5% without the severe form of PTS. Patients did not have healed, healing, and/or active venous ulcer.

 Conclusion: It is thought that vein patency and valvular function were relatively restored, and PTS was prevented after surgical thrombectomy. Vascular surgeons should include venous thrombectomy as a part of their routine operative armamentarium, offering this procedure to patients with iliofemoral DVT, especially if other options are not available or have failed.

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Type of Study: Original Research | Subject: Surgery

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