Venous thrombectomy for lliofemoral vein thrombosis — 10-year results of a prospective randomised study

Abstract

Venous thrombectomy improves venous patency and possibly reduces venous reflux and post-thrombotic sequelae as compared to anticoagulation treatment.

Invasive Approaches to Treatment of Venous Thromboembolism

“…46 Lower extremity edema was more frequent in the group that received anticoagulation alone (71% versus 46%), as were leg ulcerations (18% versus 8%). Radionuclide angiography verified longterm patency of the iliofemoral venous segment in 41% of the anticoagulated patients compared with 83% of the patients who underwent thrombectomy.…”

Avaliação da tromboflebite jugular experimental em equinos tratados com heparina

“…Baseados nestes argumentos fisiopatológicos, alguns autores defendem atualmente a trombectomia juntamente com a terapia antitrombótica para o tratamento de trombose, principalmente para trombos que afetam o sistema venoso ileofemoral, afirmando que a rápida desobstrução da veia evita a extensão distal da trombose e preveni o dano valvular [6,50,48,49,51].…”

“…Um experimento comparando a terapia antitrombótica com a trombectomia juntamente com anticoagulantes demonstrou melhores resultados clínicos e funcionais após 5 e 10 anos nos pacientes submetidos à cirurgia [50]. Outro experimento utilizando modelos de trombose em cães provou que a trombectomia pode preservar a função da veia, evitar a recorrência de trombose e diminuir a ocorrência da síndrome pós-trombótica [52].…”

Diagnosis and Treatment of Lower Extremity Deep Vein Thrombosis: Korean Practice Guidelines

“…These limitations are due to previous reports of worse outcomes in chronic DVT or with symptoms having 10-21 days in duration [200][201][202][203][204][205][206]. In cases with a bleeding risk, poor general condition, short life expectancy, absence of appropriate equipment or experienced vascular surgeon, conventional anticoagulation may be preferred over high-risk surgery.…”