Longterm results after surgical thrombectomy and simultaneous stenting for symptomatic iliofemoral venous thrombosis

• Verfasst von: Hölper, Peter [VerfasserIn]
• Verfasst von: Kotelis, Drosos [VerfasserIn]
• Verfasst von: Attigah, Nicolas [VerfasserIn]
• Verfasst von: Hyhlik-Dürr, Alexander [VerfasserIn]
• Verfasst von: Böckler, Dittmar [VerfasserIn]
• Titel: Longterm results after surgical thrombectomy and simultaneous stenting for symptomatic iliofemoral venous thrombosis
• Verf.angabe: P. Hölper, D. Kotelis, N. Attigah, A. Hyhlik-Dürr, D. Böckler (Department of Vascular and Endovascular Surgery, Ruprecht-Karls University Heidelberg)
• E-Jahr: 2010
• Jahr: [March 2010]
• Umfang: 7 S.
• Illustrationen: Illustrationen
• Fussnoten: Available online 8 January 2010 ; Gesehen am 06.03.2023
• Titel Quelle: Enthalten in: European journal of vascular and endovascular surgery
• Ort Quelle: New York, NY : Elsevier, 1995
• Jahr Quelle: 2010
• Band/Heft Quelle: 39(2010), 3 vom: März, Seite 349-355
• ISSN Quelle: 1532-2165
• DOI: doi:10.1016/j.ejvs.2009.09.028
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Deep venous thrombosis
• Sach-SW: Hybrid
• Sach-SW: May-Thurner syndrome
• Sach-SW: Venous spur
• Sach-SW: Venous stenting
• Sach-SW: Venous thrombectomy
• K10plus-PPN: 1838249303

Abstract

Objectives - To evaluate the longterm outcome of venous thrombectomy and simultaneous stenting in patients with acute, symptomatic iliofemoral deep venous thrombosis (DVT). - Methods - Between January 1996 and December 2007, a total of 45 patients underwent venous thrombectomy at our institution. Thrombectomy results were classified by intraoperative phlebography as: TYPE I=complete, TYPE II=partial, TYPE III=complete with stenosis other than thrombus, TYPE IV=permanent occlusion. TYPEs I and IV were excluded from this analysis because no endovascular repair was performed. 25 patients underwent a venous hybrid operation comprising balloon-catheter thrombectomy, thrombolysis and stenting of residual stensosis. Three TYPE 2 and 22 TYPE 3 lesions were diagnosed. Three patients died during follow-up from causes unrelated to their treatment. Three were lost to follow-up. Hence, 19 patients were examined. A retrospective, non comparative single-centre study was performed. - Results - Median follow-up was 68 months (range 3-129). Primary and secondary patency rates were 74% (14/19) and 84% (16/19), respectively. Re-thrombosis occurred within seven days of operation in 26% (5/19). Procedure related mortality was zero. There was no case of late re-thrombosis. Four patients showed post-thrombotic sequelae (CEAP: C1, 2 or 3s). No leg ulcer developed in any patient. - Conclusion - Venous thrombectomy with simultaneous stenting results in excellent longterm results in selected patients with symptomatic iliofemoral venous thrombosis.