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《Practical Journal of Medicine & Pharmacy》 2011-04
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Hybrid-operation for acute deep venous thrombosis in lower extremities:A clinical analysis of 521 cases

ZHAO Tang-hai,WANG Hai-bo,GUO Ming-jin,et al.Dept.of Vascular Surgery,the 107th Hospital of PLA,Yantai,Shandong 264002,China  
Objective To evaluate the effect of open surgery combined with multiple interventional methods(hybrid-operation) in the treatment of acute deep venous thrombi(DVT) in lower extremities.Method All 521 cases with DVT were treated by Fogarty embolectomy catheter.Among them,348 cases underwent percutaneous transluminal angioplasty(PTA),135 cases received PTA and ultrasound ablation,stent-grafts were implanted in 108 cases.The clincial outcome were analysed retrospectively.Result Based on angiography during operation,the obstructed iliofemoral vein received complete recanalization in 511 cases with the postoperative luminal diameter ≥70%,partial recanalization in 10 cases with the entrance of common iliac vein to inferior vena cava obstructed.Of the 521 cases,472 cases were followed-up for an average of 36 months after operation and 462 cases received satisfactory results with normal life,the unsuccessful 10 cases still felt swelling pain especially in erect position.Complications occurred in 33 cases.Conclusion Hybrid-operation is a safe and effective method in the treatment of DVT.
【CateGory Index】: R654.4
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