| Postthrombotic syndrome: surgical possibilities. | |
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MedLine Citation:
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PMID: 22084674 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Postthrombotic syndrome (PTS) is a late outcome of deep vein thrombosis characterized by cramping pain, swelling, hyperpigmentation, eczema, lipodermatosclerosis, and ulceration in the leg due to increased venous outflow resistance and reflux venous flow. Newer surgical and endovascular interventions have a promising result in the management of postthrombotic syndrome. Early surgical or endovascular interventions in appropriately selected patients may decrease the incidence of recurrent ulceration and skin changes and provide a better quality of life. Duplex and IVUS (intravenous ultrasound) along with venography serve as cornerstone investigative tools for assessment of reflux and obstruction. Venous obstruction, if present, should be addressed earlier than reflux. It requires endovenous stenting, endophlebectomy, or open bypass procedures. Venous stripping, foam sclerotherapy, radiofrequency, or laser ablation are used to abolish superficial venous reflux. Valvuloplasty procedures are useful for incompetent but intact deep venous valves, while transposition or axillary vein autotransplantation is done for completely destroyed valves. |
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Authors:
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Ajay K Khanna; Shivanshu Singh |
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Publication Detail:
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Type: Journal Article Date: 2011-10-31 |
Journal Detail:
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Title: Thrombosis Volume: 2012 ISSN: 2090-1496 ISO Abbreviation: Thrombosis Publication Date: 2012 |
Date Detail:
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Created Date: 2011-11-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101566937 Medline TA: Thrombosis Country: United States |
Other Details:
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Languages: eng Pagination: 520604 Citation Subset: - |
Affiliation:
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Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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