Document Detail


Long-term results of venous thrombectomy combined with a temporary arterio-venous fistula.
MedLine Citation:
PMID:  2226879     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Forty-one patients with acute iliofemoral venous thrombosis were randomised to conventional anticoagulation or acute thrombectomy combined with a temporary arterio-venous fistula (AVF) and anti-coagulation. Follow-up after 5 years in 22 medical and 19 surgical patients revealed slightly more asymptomatic patients (37 vs. 18%) and less frequent severe post-thrombotic sequelae (16 vs. 27%) in the surgical group (N.S.). The iliac vein was more frequently (P less than 0.05) normal following thrombectomy (71 vs. 30%) as demonstrated by radionuclide angiography, but occlusion plethysmography showed an outflow capacity (61 vs. 45 ml/min/100 ml) that was not significantly better. There was no obvious difference in muscle pump function (EVrel) and reflux (Q/EVrel) assessed by foot volumetry. Still, the ambulatory venous pressure was significantly (P less than 0.05) lower in the surgical group. There was a tendency towards better results following thrombectomy in patients with fresh thrombosis and a successful initial procedure. Although the numbers of observations in many cases were too small to provide statistical evidence of benefit with venous thrombectomy + AVF, this procedure seems to improve the long-term outcome following acute iliofemoral venous thrombosis. Since the difference in outcome is not very striking, anticoagulation treatment is still an acceptable alternative.
Authors:
G Plate; H Akesson; E Einarsson; P Ohlin; B Eklöf
Related Documents :
15678269 - Low-molecular-weight heparin for the treatment of venous thromboembolism in the elderly.
947059 - Heparin as an antithrombotic agent. low-dose prophylaxis.
21088159 - Evaluation of heparin assay for coagulation management in newborns undergoing ecmo.
19802659 - Prospective randomized controlled trial on the effect of fondaparinux sodium for preven...
923599 - Sulfinpyrazone and postoperative deep vein thrombosis.
2404389 - A randomized pilot trial of brief versus prolonged heparin after successful reperfusion...
8618309 - Transcutaneous electrical nerve stimulation and temporary s3 neuromodulation in idiopat...
8899029 - Use of doppler ultrasonography and positive-contrast corpus cavernosography to evaluate...
1927739 - Mitral balloon valvuloplasty for patients aged over 70 years: an alternative to surgica...
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of vascular surgery     Volume:  4     ISSN:  0950-821X     ISO Abbreviation:  Eur J Vasc Surg     Publication Date:  1990 Oct 
Date Detail:
Created Date:  1990-12-12     Completed Date:  1990-12-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8709440     Medline TA:  Eur J Vasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  483-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, Central Hospital, Helsingborg, Sweden.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Adult
Aged
Anticoagulants / therapeutic use
Arteriovenous Shunt, Surgical*
Female
Femoral Artery / surgery
Femoral Vein* / radionuclide imaging
Humans
Iliac Vein* / radionuclide imaging
Leg / blood supply
Male
Middle Aged
Postoperative Complications
Prospective Studies
Radionuclide Angiography
Regional Blood Flow
Saphenous Vein / surgery
Thrombosis / complications,  drug therapy,  radionuclide imaging,  surgery*
Chemical
Reg. No./Substance:
0/Anticoagulants

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


Previous Document:  Results of surgical treatment for atherosclerotic renovascular occlusive disease.
Next Document:  Vein marking through ultrasound coupling gel.