0
ARTICLE |

Thrombectomy for Acute Iliofemoral Venous Thrombosis

J. ALEX HALLER JR., M.D.
Arch Surg. 1961;83(3):448-457. doi:10.1001/archsurg.1961.01300150122016.
Text Size: A A A
Published online

Acute iliofemoral venous thrombosis is a frequent complication of major abdominal and pelvic operations and often occurs during hospitalization for multiple fractures and soft-tissue injuries. The tensely swollen, constantly aching lower limb is pathognomonic of extensive deep venous occlusion. The severe pain and massive edema are almost unbearable. The late sequelae of the postphlebitic limb may be even more serious.

None of the components of presently accepted nonoperative treatment attempts to prevent the development of deep venous insufficiency which usually follows iliofemoral venous thrombosis. These patients become victims of chronically edematous, aching, ulcer-prone extremities as a result of the destruction of the directional flow in the deep venous system of the leg. Thrombectomy will not only remove a fresh clot which might become fragmented, but it will also restore normal flow through undamaged valves. In the belief that this concept is correct, 24 patients have been operated upon for acute

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();