Surgical Management of Iliofemoral Venous Thrombosis

ABSTRACT

Iliofemoral venous thrombosis (IFVT) is associated with a significant risk of death from pulmonary embolism, limb loss from venous gangrene, and the disabling sequelae of chronic venous insufficiency. To prevent such acute mortality and acute and chronic limb morbidity, treatment must be aggressive. Surgical venous thrombectomy (VT) has been shown to achieve long-term iliac vein patency with preservation of femoral-popliteal vein valve competence. VT has been a controversial procedure during the past 50 years. However, refinement of indications, addition of an adjunctive temporary arteriovenous fistula, and performance of this procedure as part of a protocol employing catheter-directed thrombolytic therapy have resulted in a valuable role for VT in the treatment of IFVT.

KEYWORD

Iliofemoral - venous - thrombosis - thrombectomy

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