Postthrombotic Syndrome: Surgical Possibilities

Venous thromboembolism in laparoscopic surgery: experience in elderly

Background In the last years venous thromboembolism has became one of the most relevant social and health care problem due to: high incidence among patients who undergo surgery (20–30% after general surgical operations and 50–75% after orthopedic procedures), pulmonary embolism-related mortality rate, and long-term sequelae (postthrombotic syndrome and ulceration). This study has the purpose to...

May–Thurner syndrome caused by a huge uterine myoma

May–Thurner syndrome (or iliocaval compression syndrome) is defined as a compression of the iliac vein that results in decreased flow in the vein and the left lower extremity due to a vascular malformation. It may result in left leg edema, pain, iliofemoral DVT, and postthrombotic syndrome. Compression of the left common iliac vein by the right common iliac artery against the underlying fifth l...

Determinants and time course of the postthrombotic syndrome after acute deep venous thrombosis.

BACKGROUND The reason some patients with deep venous thrombosis (DVT) develop the postthrombotic syndrome is not well understood. OBJECTIVE To determine the frequency, time course, and predictors of the postthrombotic syndrome after acute DVT. DESIGN Prospective, multicenter cohort study. SETTING 8 Canadian hospital centers. PATIENTS 387 outpatients and inpatients who received an object...

Getting a leg up on the postthrombotic syndrome.

Invasive approaches to treatment of venous thromboembolism.

Deep vein thrombosis (DVT) occurs in one-quarter of a million individuals annually in the United States and results in significant disability from pulmonary embolism and chronic venous insufficiency, especially when the proximal iliofemoral is involved. Treatment has centered on early institution of adequate anticoagulation to prevent thrombus propagation and embolism, but anticoagulation alone...