Document Detail


Surgical treatment of septic deep venous thrombosis.
MedLine Citation:
PMID:  7604379     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
H W Kniemeyer; K Grabitz; R Buhl; H J W?st; W Sandmann
Related Documents :
18238869 - Surgical management of deep venous insufficiency caused by congenital absence of the in...
10875429 - The rationale for long-term prophylaxis of venous thromboembolism.
11296319 - Sequelae after limb-sparing surgery with major vascular resection for tumor of the lowe...
10994419 - Subclavian vein thrombosis associated with central venous cannulation in head and neck ...
1727289 - Zollinger-ellison syndrome: technique, results, and complications of portal venous samp...
6691189 - Diagnosis and management of retroperitoneal hematomas after femoral vein cannulation fo...
11280819 - Long-term results after a low anterior resection with mucosectomy and colo-anal sleeve ...
10444289 - Nasopharyngeal angiofibroma in a patient with haemophilia a: a bleeding tumour in a ble...
10654489 - Surgical outcome of traumatic rupture of the thoracic aorta.
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    
Affiliation:
Department of Anesthesiology, Heinrich-Heine-University D?sseldorf, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anti-Bacterial Agents / therapeutic use
Child
Female
Follow-Up Studies
Humans
Male
Postoperative Complications / epidemiology
Sepsis / complications,  drug therapy,  surgery*
Thrombophlebitis / complications,  surgery*
Time Factors
Vascular Surgical Procedures*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

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


Previous Document:  Low oxygen extraction despite high oxygen delivery causes low oxygen consumption in patients with bu...
Next Document:  Total energy expenditure during total parenteral nutrition: ambulatory patients at home versus patie...