2007, Number 4
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Rev Mex Angiol 2007; 35 (4)
Iliofemoral venous thrombectomy: Experience and update in the procedure
Jáuregui ZR, Ruiz MH, González HJA, Ochoa GFJ, Sánchez VS
Language: Spanish
References: 32
Page: 171-176
PDF size: 145.46 Kb.
ABSTRACT
Objective: Describing the experience in iliofemoral infrainguinal venous thrombectomy at the “Dr. Valentin Gomez Farias” ISSSTE Regional Hospital and update in the procedure of literature.
Methods and patients: Six cases have been included (from March 3 to June 10 of 2007, with not more than seven days evolution) for the analysis of this experience in iliofemoral venous thrombosis, demonstrated by upward of inferior members flebography. Also, a revision of the current literature is made about the controversies and current tendencies in the medical and/or surgical treatment of the iliofemoral venous thrombosis.
Results: Six patients were operated of infrainguinal venous thrombectomy (previous authorization) with the following results: so far of court 0% of mortality during and after surgery. 0% of pulmonary embolism after surgery (for clinic, radiology and electrocardiography) and one patient had currently thrombosis.
Conclusions: Because it is a limited number patients study, it is not possible to get a conclusion. However our results are encouraging, being conscient that they even exist a few controversies in the procedure. At the end of the 60’s years, it was discredited in studies where were detected several mistakes, because of high mortality and pulmonary embolism during and after surgery. Actually the procedure has been recaptured because of the great transcendency in post thrombotic and EP sequels joined to the mortality, which it has not diminished significantly by the conventional antithrombotic treatment.
REFERENCES
Rutherford R. Vascular Surgery. 6th Chap.151. Ed. 2005; p. 2188-97.
Haimovici H. Vascular Surgery. 2nd Chap. 61. Ed.1986; p. 667-76.
Sigler, Castañeda, Athie. Trombosis venosa profunda y Embolia pulmonar.1a Ed. Cap. 17. 2002; p. 277-84.
Raju, Villavicencio. Enfermedades Venosas. 1a Ed. Cap. 34. 1999; p. 498-510.
Anthony J. Comerota, Paolini. Treatment of acute iliofemoral deep venous thrombosis: A strategy of thrombosis removal. Eur J Vascular Endovasc Surgery 2007; 33: 35-360.
Anthony J, Comerota, et al. Technique of contemporary iliofemoral and infrainguinal venous thrombectomy. J Vascular Surgery 2006; 43: 185-91.
Cartsen N, Gutt MD. Prophylaxis and Treatment of deep nein thrombosis in general surgery. Am J Sur 2005; 189: 14-22.
Duglas B, Hood MD. Endovascular Management of iliofemoral venous occlusive disease. University of southern California. Sur Clin North Ama 2004; 84: 1381-96.
Ruth L, Bush MD. Pharmacomechanical thrombectomy for treatment of symptomatic lower extremity deep venous thrombosis. Safety and feasibility study. Houston. USA: American venous forum. J Vasc Sug 2004; 40: 965-70.
Kyrle AP. Venous thromboembolism in men and women. Dep. Internal medicine. University of Vienna Austria; 2005; 2: 302-8.
Majluf, García, Martínez. Enfermedad Tromboembólica Venosa. 1a Ed. 2005, p. 88.
Pillny M, Sand MW, Luther B. Deep Venous Thrombosis during Pregnancy and delivery: indications for and results of Thrombectomy. Dusseldorf Germany from the departments of vascular suegery and kidney transplantation; 2003; 37: 528-32.
Goncalves PA. Phlegmasia Cerulea Dolens: Therapeutic considerations. Revista purtuguesa de cirugia cardiotoracica y vascular J Vasc Surg 2005; 12(I): 41-5.
Wakefield TW. Treatment options for venous Thrombosis. Department of Surgery University of Michigan Medical School. J Vasc Surg 2000; 2: 128-32.
Plate G, Eklof B, Norgren L. Venous thrombectomy for iliofemoral vein thrombosis.10 year results of a prospective randomized study. J Vasc Surg 1997; 28: 14-22.
Juhan CM, Alimi YS, Barthelemy TJ. Late results of iliofemoral venous thrombectomy. J Vasc Surg 1997; 104: 22-8.
Rutherford R. Vascular Surgery. 6th Chap.151. Ed. 2005; p. 2188-97.
Haimovici H. Vascular Surgery. 2nd Chap. 61. Ed.1986; p. 667-76.
Sigler, Castañeda, Athie. Trombosis venosa profunda y Embolia pulmonar.1a Ed. Cap. 17. 2002; p. 277-84.
Raju, Villavicencio. Enfermedades Venosas. 1a Ed. Cap. 34. 1999; p. 498-510.
Anthony J. Comerota, Paolini. Treatment of acute iliofemoral deep venous thrombosis: A strategy of thrombosis removal. Eur J Vascular Endovasc Surgery 2007; 33: 35-360.
Anthony J, Comerota, et al. Technique of contemporary iliofemoral and infrainguinal venous thrombectomy. J Vascular Surgery 2006; 43: 185-91.
Cartsen N, Gutt MD. Prophylaxis and Treatment of deep nein thrombosis in general surgery. Am J Sur 2005; 189: 14-22.
Duglas B, Hood MD. Endovascular Management of iliofemoral venous occlusive disease. University of southern California. Sur Clin North Ama 2004; 84: 1381-96.
Ruth L, Bush MD. Pharmacomechanical thrombectomy for treatment of symptomatic lower extremity deep venous thrombosis. Safety and feasibility study. Houston. USA: American venous forum. J Vasc Sug 2004; 40: 965-70.
Kyrle AP. Venous thromboembolism in men and women. Dep. Internal medicine. University of Vienna Austria; 2005; 2: 302-8.
Majluf, García, Martínez. Enfermedad Tromboembólica Venosa. 1a Ed. 2005, p. 88.
Pillny M, Sand MW, Luther B. Deep Venous Thrombosis during Pregnancy and delivery: indications for and results of Thrombectomy. Dusseldorf Germany from the departments of vascular suegery and kidney transplantation; 2003; 37: 528-32.
Goncalves PA. Phlegmasia Cerulea Dolens: Therapeutic considerations. Revista purtuguesa de cirugia cardiotoracica y vascular J Vasc Surg 2005; 12(I): 41-5.
Wakefield TW. Treatment options for venous Thrombosis. Department of Surgery University of Michigan Medical School. J Vasc Surg 2000; 2: 128-32.
Plate G, Eklof B, Norgren L. Venous thrombectomy for iliofemoral vein thrombosis.10 year results of a prospective randomized study. J Vasc Surg 1997; 28: 14-22.
Juhan CM, Alimi YS, Barthelemy TJ. Late results of iliofemoral venous thrombectomy. J Vasc Surg 1997; 104: 22-8.
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