Treatment of severe acute deep venous thrombosis in lower extremity

• Published in: Zhong hua yi xue za zhi Vol. 89; no. 45; p. 3186
• Main Authors: Gu, Yong-quan, Zhang, Jian, Qi, Li-xing, Yu, Heng-xi, Li, Xue-feng, Guo, Lian-rui, Chen, Bing, Cui, Shi-jun, Wu, Ying-feng, Tong, Zhu, Qi, Yi-xia, Yang, Sheng-jia, Guo, Jian-ming, Wang, Zhong-gao
• Format: Journal Article
• Language: Chinese
• Published: China 08.12.2009
• Subjects: Acute Disease; Adult; Aged; Critical Illness; Female; Humans; Lower Extremity - blood supply; Male; Middle Aged; Retrospective Studies; Thrombectomy; Treatment Outcome; Venous Thrombosis - surgery
• ISSN: 0376-2491
• DOI: 10.3760/cma.j.issn.0376-2491.2009.45.006

To explore the method and effectiveness of treatment for severe acute deep venous thrombosis (DVT) in lower extremity. Eighteen patients with severe acute DVT treated in our hospital from January 1, 2002 to December 31, 2008 were retrospectively analysed. All the patients had limb edema and pain, sixteen had limb cyanochroia(one had calf skin ulcer and foot gangrene), two had limb pallor, ten had weakened dorsalis pedis artery pulsation, eight had silent dorsalis pedis artery pulsation. Colour Doppler ultrasonography revealed DVT and superficial venous thrombosis in all diseased limbs. One patient underwent above knee amputation for limb gangrene. Seventeen underwent surgical thrombectomy, of which three were simple thrombectomy, five were supplemented with suprapubic saphenous vein bypass, six with suprapubic PTFE graft bypass, three with iliac vein lysis angioplasty. One patient died (5.6%) on the third day after surgery. Limb edema relieved in seven patients (41.2%), reduced in ten patients (58.8%). All di