Document Detail

Surgical treatment of septic deep venous thrombosis.
MedLine Citation:
PMID:  7604379     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Septic deep venous thrombosis (SDVT) is an uncommon but occasionally lethal disease caused by systemic complications. In most cases reported in the literature SDVT is caused by intravenous drug abuse or transvenous catheter lines. Conservative management with antibiotic drugs and systemic anticoagulation is usually successful, and the surgical approach is regarded as not indicated or unnecessary. Occasionally, however, conservative management fails, thrombosis progresses, and septic embolism develops. METHODS: In a 7-year period five patients (three male and two female; mean age, 21.2 years), three with severe systemic complications of SDVT (femoropopliteal, 1; iliofemoral, 1; iliofemoral+vena cava, 3), were treated by venous thrombectomy in addition to intravenous antibiotic administration. Simultaneous transabdominal caval thrombectomy was performed twice. RESULTS: Two patients suffered from respiratory failure caused by previous septic embolization. One patient had experienced multiorgan failure before thrombectomy was performed. Intensive care was necessary for all patients (mean, 28 days). All patients survived. CONCLUSIONS: In complicated cases of SDVT without improvement or even impairment after conservative management, venous thrombectomy is a lifesaving treatment.
H W Kniemeyer; K Grabitz; R Buhl; H J W?st; W Sandmann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery     Volume:  118     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1995 Jul 
Date Detail:
Created Date:  1995-08-07     Completed Date:  1995-08-07     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  49-53     Citation Subset:  AIM; IM    
Department of Anesthesiology, Heinrich-Heine-University D?sseldorf, Germany.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Follow-Up Studies
Postoperative Complications / epidemiology
Sepsis / complications,  drug therapy,  surgery*
Thrombophlebitis / complications,  surgery*
Time Factors
Vascular Surgical Procedures*
Reg. No./Substance:
0/Anti-Bacterial Agents

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