Document Detail


Role of surgery in iliofemoral venous thrombosis.
MedLine Citation:
PMID:  3516589     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thrombectomy has a limited but definite role in the clinical management of patients with iliofemoral venous thrombosis. It is best applied selectively to achieve specific goals in two different groups of patients at either end of the disease spectrum. In relatively active healthy young patients with phlegmasia alba dolens operated on relatively soon after thrombosis, better protection against the late postthrombotic sequelae can be achieved. Patients with malignancy, underlying coagulopathy, or those who are inactive or have a limited life expectancy due to age or concurrent disease should not be operated on for bland thrombosis. At the other extreme, when phlegmasia cerulea dolens causes painful tense swelling, increases compartmental or decreases ankle pressures, and threatens limb viability in spite of heparinization and leg elevation, thrombectomy should be performed.
Authors:
R B Rutherford
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Publication Detail:
Type:  Historical Article; Journal Article    
Journal Detail:
Title:  Chest     Volume:  89     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1986 May 
Date Detail:
Created Date:  1986-05-30     Completed Date:  1986-05-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  434S-437S     Citation Subset:  AIM; IM; Q    
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MeSH Terms
Descriptor/Qualifier:
Evaluation Studies as Topic
Femoral Vein / surgery*
History, 20th Century
Humans
Iliac Vein / surgery*
Postoperative Complications
Thrombosis / surgery*
Time Factors

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


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