Palma-Dale Operation for Chronic Ilio-femoral Vein Thrombosis.
- Author:
Sang Dong KIM
1
;
Sun Cheol PARK
;
Ji Il KIM
;
Yong Sung WON
;
Sang Seob YUN
;
In sung MOON
;
Jang Sang PARK
;
Yong Bok KOH
Author Information
1. Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. sun60278@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Chronic ilio-femoral vein thrombosis;
Palma-Dale operation
- MeSH:
Arteriovenous Fistula;
Female;
Follow-Up Studies;
Humans;
Lower Extremity;
Male;
Postoperative Complications;
Recurrence;
Retrospective Studies;
Thrombectomy;
Thrombosis;
Transplants;
Veins;
Venous Insufficiency;
Venous Thrombosis
- From:Journal of the Korean Society for Vascular Surgery
2009;25(1):23-29
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Deep vein thrombosis is usually managed conservatively or with radiologic intervention. Yet deep vein reconstruction is of value as one of the treatments for a small group of patients who present with significant chronic venous insufficiency due to hypoplastic, absent or occluded deep venous outflow such as occurs because of chronic ilio-femoral vein thrombosis. Therefore, we evaluate the improvement of symptoms and graft patency after a Palma-Dale operation as a treatment modality for chronic ilio-femoral vein thrombosis. METHODS: From January 2001 to August 2008, a retrospective study was performed on 15 patients with chronic ilio-femoral vein thrombosis that was treated with a Palma-Dale operation. RESULTS: The mean age of the patients was 51.1+/-15.9 years. The ratio of males to females was 8 to 7. All the patients had lower limb swelling. A Palma-Dale operation was performed on all the patients. Simultaneous thrombectomy was done for 1 patient and arteriovenous fistulas were used to improve graft patency in four patients. The mean follow-up period was 36.3+/-24.0 months. Postoperatively, there was improvement of symptoms in all the patients. However, there was recurrence of symptoms in three patients after two or three months. The rate of graft patency was 84.1% at one year after surgery. CONCLUSION: The Palma-Dale operation has the possibility of recurrence of deep vein thrombosis and postoperative complications. Yet in patients with significant chronic venous insufficiency due to chronic ilio-femoral vein thrombosis, this type of surgery is obviously of value with respect to improvement of symptoms and an acceptable graft patency rate.
