Operative Therapie

Lang, Werner; ̈r, J. LargiadÃ; Beckmann, Matthias W.; Comerota, Anthony J.; Meyer, A.; Qu, Lefeng; Zeng, Qian; Zhao, Ying; Nüllen, H.; Noppeney, T.

doi:10.1007/978-3-642-21496-7_11

Cited by 1 publication

(1 citation statement)

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“…In the venous system, a disobliteration of almost occluded or insufficiently recanalized segments can be done similarly to the treatment of stenotic arterial vessels by thromboendarterectomy. 16 The difference between both treatments is that in veins the therapy aims to remove thrombotic septae and synechiael structures caused by the thrombus. A resection of parts of wall tissue thus freeing deeper layers shall be prevented since those layers are thrombogenic causing re-thrombosis.…”

Section: Endovenectomy (Venous Disobliteration)mentioning

confidence: 99%

Open surgical treatment for postthrombotic syndrome

et al. 2016

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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.

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Section: Endovenectomy (Venous Disobliteration)mentioning

confidence: 99%