Korean J Thorac Cardiovasc Surg.
2002 May;35(5):402-406.
Surgical Technique for the Removal of Deep Vein Thrombi of the Lower Extremities
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Hospital, Korea. sangho@nongae.gsnu.ac.kr
- 2Department of Diagnostic Radiology, Gyeongsang National University Hospital, Korea.
- 3Institute of Health Sciences, Gyeongsang National University, Korea.
Abstract
- The conventional surgery method of thrombectomy of venous thrombi from the deep veins of the lower extremity was the use of Forgarty balloon catheter. The catheter is inconvenient due to the presence of the balloon and prohibiting venous valves within the venous trees. With the use of a stone-forceps(Fig. 1), thrombi within iliofemoral vein could be easily removed without the obstacle of the valves because the instrument keeps valves open. This instrument is also useful in monitoring the back-flow from the iliac vein. Thrombi within the veins below the level of inguinal incision are removed successfully only by effective manual compression of the calf and thigh muscles. I recommend operating on the iliac vein first rather than the lower venous tree.
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