Surgical thrombectomy for iliofemoral venous thrombosis revisited

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Surgical thrombectomy for iliofemoral venous thrombosis revisited Bo Eklöf, MD, PhD Journal of Vascular Surgery Volume 54, Issue 3, Pages 897-900 (September 2011) DOI: 10.1016/j.jvs.2011.04.027 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 A, An incision is made over the deep vein at a level that is expected to be near the upper end of the clot. B, After the thrombosed vein is isolated, small rubber tissue drains are placed beneath it. C, A longitudinal incision is made in the vein. (Reprinted with permission from Mahorner H. New management for thrombosis of deep veins of extremities. Am Surg 1954;20:487-98). Journal of Vascular Surgery 2011 54, 897-900DOI: (10.1016/j.jvs.2011.04.027) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Compression is made along the course of the vein from above while the clot is gently lifted out with an instrument. Then, pressure from below upward is exerted to remove the clot from the lower segment. If the flow of blood is free from each direction, it indicates that the clot has been adequately removed. B, If blood flow is not normal, a catheter with suction attached is introduced in each segment to remove adherent thrombus. C, The vein is not ligated, but the lumen is restored by suturing the opening with 4-0 silk. (Reprinted with permission from Mahorner H. New management for thrombosis of deep veins of extremities. Am Surg 1954;20:487-98). Journal of Vascular Surgery 2011 54, 897-900DOI: (10.1016/j.jvs.2011.04.027) Copyright © 2011 Society for Vascular Surgery Terms and Conditions