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《Anatomy and Clinics》 2005-01
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Surgical Management of Acute Deep Venous Thrombosis of Lower Extremity Complicated by Cockett Syndrome

Yu Chaowen,Li Xiaoqiang,Gao Yong,et al(Department of Vascular Surgery,Affiliated Hospital of Bengbu Medical College,Anhui Bengbu 233000)  
Objective:To summarize the experience of surgical management of acute deep venous thrombosis of the lower extremity with cockett syndrome and to explore the effective surgical treatment for acute deep venous thrombosis.Methods:42 cases treated by surgery were studied.Among these patients,6 were treated by thrombectomy and shunt from left external iliac vein to inferior vein cava,7 were treated by thrombectomy and shunt from left common femoral vein to inferior vein cava,14 were treated by thromectomy and Palma procedure and 15 were treated by thrombectomy and occlusive segment resection in left common iliac vein and in-situ transplant with artificial graft.All the patients were performed temporary arteriovenous fistula except those treated by in-situ transplant.Results:Among the 42 patients,3 demonstrated no obvious edema relief;other patients achieved good results.During the follow-up of 2-72 months,4 cases of artificial graft developed thrombosis and 6 cases anastomsis strictune.The post-thrombosis rate was 16.67%.Conclusion:Cockett syndrome combines acute DVT of lower extremity easily.We should be conscious of left common iliac venous disorder when treating deep venous thrombosis of lower extremity by surgery and modify it completely.Selection of rational and effective procedure is very important in increasing the long-term patency rate and decreasing the post-thrombosis syndrome rate.
【CateGory Index】: R654.4
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