Vascular and endovascular surgery · 2013
Changing strategies to treat venous thrombotic occlusions of the upper and lower extremities secondary to compressive phenomena.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Spivack Adam, Troutman Doug, Dougherty Matthew, Calligaro Keith
Аннотация
OBJECTIVES: We reviewed our strategies during the last decade for deep vein thrombosis (DVT) of the upper extremity due to thoracic outlet syndrome (TOS) andthe lower extremity.
METHODS: Between 1998 and 2011, we treated 31 patients with 18 subclavian DVTs and 13 iliac DVTs. Management included catheter-directed thrombolysis compared to mechanical thrombolysis (MT; post 2006). Prior to 2006, patients with TOS were treated with total excision of the first rib compared to excision of the anterior half of the rib. Patients were followed up with serial duplex ultrasounds.
RESULTS: There was no major morbidity and no mortality in these 31 patients. Three patients developed recurrent DVT but maintained patency after further treatment.
CONCLUSION: Use of MT has led to shorter treatment duration and length of hospital stay. Limiting first rib resection to the anterior half of the rib shortened operative time. Patients requiring stents had excellent long-term patency rates.
METHODS: Between 1998 and 2011, we treated 31 patients with 18 subclavian DVTs and 13 iliac DVTs. Management included catheter-directed thrombolysis compared to mechanical thrombolysis (MT; post 2006). Prior to 2006, patients with TOS were treated with total excision of the first rib compared to excision of the anterior half of the rib. Patients were followed up with serial duplex ultrasounds.
RESULTS: There was no major morbidity and no mortality in these 31 patients. Three patients developed recurrent DVT but maintained patency after further treatment.
CONCLUSION: Use of MT has led to shorter treatment duration and length of hospital stay. Limiting first rib resection to the anterior half of the rib shortened operative time. Patients requiring stents had excellent long-term patency rates.
Предметные рубрики MeSH
AdolescentAdultEndovascular ProceduresFemaleHumansIliac VeinMaleMay-Thurner SyndromeMechanical ThrombolysisMiddle AgedOsteotomyRecurrenceRetrospective StudiesSubclavian VeinThoracic Outlet SyndromeThrombolytic TherapyTime FactorsTreatment OutcomeUltrasonography, Doppler, DuplexUpper Extremity Deep Vein ThrombosisVascular PatencyVenous ThrombosisYoung Adult