Document Detail


Endovenectomy of the common femoral vein and intraoperative iliac vein recanalization for chronic iliofemoral venous occlusion.
MedLine Citation:
PMID:  20620770     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Chronic postthrombotic occlusion of the iliofemoral venous segments produces severe morbidity, which can be alleviated if venous drainage is restored. The common femoral vein (CFV) cannot always be fully recanalized with percutaneous endovenous techniques alone. We report the technique combining operative endovenectomy and patch venoplasty of the CFV with intraoperative iliac vein venoplasty and stenting to restore unobstructed venous drainage from the infrainguinal venous system to the vena cava. This procedure led to reduced pain, edema, and healing of a long-standing venous ulcer, with a marked reduction in postthrombotic morbidity.
Authors:
Anthony J Comerota; Nina K Grewal; Subhash Thakur; Zacaria Assi
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  52     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-12     Completed Date:  2010-08-10     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  243-7     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Jobst Vascular Center, The Toledo Hospital, Toledo, OH 43606, USA. marilyn.gravett@promedica.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Angioplasty, Balloon* / instrumentation
Anticoagulants / therapeutic use
Chronic Disease
Combined Modality Therapy
Constriction, Pathologic
Femoral Vein / physiopathology,  surgery*
Humans
Iliac Vein / physiopathology,  surgery*
Male
Phlebography
Platelet Aggregation Inhibitors / therapeutic use
Postthrombotic Syndrome / etiology,  physiopathology,  surgery,  therapy*
Regional Blood Flow
Saphenous Vein / transplantation
Stents
Treatment Outcome
Varicose Ulcer / etiology,  therapy
Vascular Patency
Vascular Surgical Procedures*
Venous Thrombosis / complications,  physiopathology,  surgery,  therapy*
Wound Healing
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Platelet Aggregation Inhibitors
Comments/Corrections
Comment In:
J Vasc Surg. 2011 Feb;53(2):562   [PMID:  21276509 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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