Advances in Operative Thrombectomy for Lower Extremity Venous Thrombosis

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1 Citation (Scopus)

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.

Original languageEnglish (US)
JournalSurgical Clinics of North America
DOIs
StateAccepted/In press - Jan 1 2017

Fingerprint

Thrombectomy
Venous Thrombosis
Lower Extremity
Thrombosis
Venous Valves
Postthrombotic Syndrome
Fibrinolytic Agents
Catheters
Morbidity
Mortality
Incidence
Therapeutics

Keywords

  • Femoral
  • Iliac
  • Open
  • Surgery
  • Thrombectomy
  • Thrombosis
  • Vein
  • Venous

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Advances in Operative Thrombectomy for Lower Extremity Venous Thrombosis",
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.",
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AU - Koopman, Matthew

AU - Mclafferty, Robert

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N2 - 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.

AB - 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.

KW - Femoral

KW - Iliac

KW - Open

KW - Surgery

KW - Thrombectomy

KW - Thrombosis

KW - Vein

KW - Venous

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