Advances in Operative Thrombectomy for Lower Extremity Venous Thrombosis.

Advances in Operative Thrombectomy for Lower Extremity Venous Thrombosis.
Surg Clin North Am. 2018 Apr;98(2):267-277
Authors: Koopmann MC, McLafferty RB
Abstract
Lower extremity deep venous thrombosis is a leading cause of morbidity and mortality. The mainstay of therapy is medical. However, anticoagulation does not remove the thrombus and restore venous patency. In select patients, early thrombus removal and anticoagulation can restore venous patency, preserve venous valve function, and may reduce the incidence of postthrombotic syndrome. Catheter-directed therapies are minimally invasive with low complication rates. However, in patients with a contraindication to thrombolytic agents who can receive anticoagulation, open thrombectomy should be considered if indications for thrombus removal are met and patients are good operative risks.
PMID: 29502771 [PubMed - in process]

Source: The Surgical Clinics of North America - March 7, 2018 Category: Surgery Authors: Koopmann MC, McLafferty RB Tags: Surg Clin North Am Source Type: research