Surgical Technique for the Removal of Deep Vein Thrombi of the Lower Extremities.
- Author:
Sang Ho RHIE
1
;
Jun Young CHOI
;
Sung Ho KIM
;
Byung Kyun KIM
;
In Seok JANG
;
Chung Eun LEE
;
Chang Dae OUCK
;
Jong Woo KIM
;
Jae Boem NA
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Hospital, Korea. sangho@nongae.gsnu.ac.kr
- Publication Type:Case Report
- Keywords:
Deep vein thrombosis;
Surgery method
- MeSH:
Catheters;
Iliac Vein;
Lower Extremity*;
Muscles;
Thigh;
Thrombectomy;
Veins*;
Venous Thrombosis;
Venous Valves
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2002;35(5):402-406
- CountryRepublic of Korea
- Language:Korean
-
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.
