6
Frequently Asked Questions

  Surgery for Acute Iliofemoral Deep Venous Thrombosis

Q:  What are the symptoms of acute iliofemoral deep vein thrombosis?

A:  Pain, swelling, warmth, and redness of the affected limb are symptoms of iliofemoral deep vein thrombosis.

Q:  Which is the most important objective when treating iliofemoral deep vein thrombosis?

A:  Prevention of fatal pulmonary embolism (blood clots plugging the blood supply to the lungs) is the most important objective.

Q:  What is the first choice for the treatment of iliofemoral deep vein thrombosis?

A:  Catheter-directed thrombolysis (dissolving of the clot with drugs placed directly into the clot) is the treatment of choice.

Q:  Why is a venous thrombectomy performed after a deep vein clot has been discovered?

A:  Thrombectomy is performed to (a) directly remove the clot so that it cannot go to the lungs and cause breathing difficulty and to (b) prevent and relieve the leg symptoms that are associated with the presence of a clot.

Q:  Why is an arteriovenous fistula created after a vein thrombectomy is preformed?

A:  An arteriovenous fistula increases the blood flow through the area where the thrombectomy had been performed and thereby decreases the chance of reclotting

Q:  Are long-term results after thrombectomy better than that obtained with anticoagulation use alone?

A:  Yes. Thrombectomy prevents severe post-thrombotic syndrome (long-term ulceration, swelling, pain, edema [accumulation of fluid], hyperpigmentation [increase in skin color]) better than conservative anticoagulation does


  For more information, read Chapter 6: Surgery for Acute Iliofemoral Deep Venous Thrombosis.

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