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Combined regional thrombolysis and surgical thrombectomy for treatment of iliofemoral vein thrombosis  Werner Blättler, MD, Georg Heller, MD, Jon Largiadèr,

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Presentation on theme: "Combined regional thrombolysis and surgical thrombectomy for treatment of iliofemoral vein thrombosis  Werner Blättler, MD, Georg Heller, MD, Jon Largiadèr,"— Presentation transcript:

1 Combined regional thrombolysis and surgical thrombectomy for treatment of iliofemoral vein thrombosis  Werner Blättler, MD, Georg Heller, MD, Jon Largiadèr, MD, Hannu Savolainen, MD, Beat Gloor, MD, Jürg Schmidli, MD,  Journal of Vascular Surgery  Volume 40, Issue 4, Pages (October 2004) DOI: /j.jvs Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Extent of thrombosis in 2 study cohorts.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Usually, the thrombi appearing in the operating field are only partly degraded. Here, they are assembled to demonstrate the completeness of the thrombectomy. The impressions of the valves are depicted in the insert. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Urokinase concentration in blood collected from the systemic circulation and the treated leg. The thrombosed leg was excluded from the systemic circulation by means of a tourniquet placed on the thigh, and infused through a foot vein with 3 million IU of urokinase (∼43 mg). Systemic blood was collected from a central venous catheter before (1) and during (2) the infusion, at closure of the venotomy (5), and at the end of the operation (6). Samples were obtained from the site of the inguinal venotomy immediately on loosening the tourniquet (3), when clots appeared no longer (4), and just before closure of the venotomy (5). Time between collection of samples 1 and 3 was 30 minutes, and between samples 3 and 6 was 30 to 45 minutes. Urokinase concentrations (mg/mL) are plotted on a logarithmic scale. Data are from 5 patients (mean ± 1 SD). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions


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