scholarly journals Thrombectomy with temporary arteriovenous fistula: The treatment of choice in acute iliofemoral venous thrombosis

1984 ◽  
Vol 1 (6) ◽  
pp. 867-876 ◽  
Author(s):  
G. Plate ◽  
E. Einarsson ◽  
P. Ohlin ◽  
R. Jensen ◽  
P. Qvarfordt ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Arteriovenous Fistula ◽  
Temporary Arteriovenous Fistula

Results of Femoro-Femoral Vein Bypass Grafting with Temporary Arteriovenous Fistula for Femoro-Iliac Venous Thrombosis: Differences between Operations in the Acute and Chronic Phases

1990 ◽  
Vol 5 (4) ◽  
pp. 237-244 ◽  
Author(s):  
Hiroshi Ijima ◽  
Kunihiko Hirabayashi ◽  
Yuzura Sakakibara ◽  
Tatsuo Tsutsui ◽  
Toshio Mitsui ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Arteriovenous Fistula ◽  
Vascular Graft ◽  
Femoral Vein ◽  
Chronic Phase ◽  
Iliac Vein ◽  
Bypass Grafting ◽  
Vein Bypass ◽  
Venous Collaterals ◽  
Temporary Arteriovenous Fistula

Femoro-femoral vein bypass operation using a synthetic vascular graft with simultaneous construction of a temporary arteriovenous fistula (A-V f.) was performed in eight patients with acute femoro-iliac venous thrombosis after successful femoral thrombectomy but unsuccessful iliac thrombectomy; this operation was also performed in one patient with subacute thrombosis of the iliac vein and three patients with femoro-iliac post-phlebitic syndrome. Of the first nine patients who underwent the operation in the acute or subacute phase of the disease, the synthetic vascular grafts remained patent after closure of the A-V f. in six (66.7%), and no recurrence of symptoms was observed in any of the nine, including those in whom the graft was occluded. However, the graft remained patent in only one (33.3%) of the three patients who underwent the operation in the chronic phase and no improvement in symptoms was observed in the patients with occluded grafts. These differences in the results of bypass grafting are considered to be due to differences in the development of pelvic venous collaterals. The indications for this operation should be evaluated after close examination of the state of collateral vasculature.

Long-Term Results of Thrombectomy with Temporary Arteriovenous Fistula for Ileofemoral Venous Thrombosis

1986 ◽  
Vol 1 (2) ◽  
pp. 113-117 ◽  
Author(s):  
S. Zetterquist ◽  
R. Hägglöf ◽  
H. Jacobsson ◽  
J. Johansson ◽  
H. Johnsson ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Arteriovenous Fistula ◽  
Long Term Results ◽  
Anticoagulant Treatment ◽  
Venous Outflow ◽  
Temporary Arteriovenous Fistula ◽  
Distal Extension ◽  
Valvular Insufficiency

Nineteen patients with acute ileofemoral venous thrombosis were subjected to thrombectomy with the addition of a temporary a-v fistula and anticoagulant treatment. At follow-up 3 years after surgery isotope phlebography disclosed more-or-less patent ileofemoral segments in 16 patients. The venous outflow capacity as estimated from venous emptying curves was normal in all but three totally occluded limbs, indicating an adequate collateral compensation. Foot volumetry demonstrated signs of venous valvular insufficiency, mainly in legs with a distal extension of the initial thrombosis; these patients complained of symptoms of post-thrombotic syndrome, which emphasizes the importance of early operation.

Thrombectomy with temporary arteriovenous fistula: The treatment of choice in acute iliofemoral venous thrombosis

1984 ◽  
Vol 1 (6) ◽  
pp. 867-876 ◽  
Author(s):  
G. Plate ◽  
E. Einarsson ◽  
P. Ohlin ◽  
R. Jensen ◽  
P. Qvarfordt ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Arteriovenous Fistula ◽  
Temporary Arteriovenous Fistula

Bilateral Blood Reflux Into Schlemm Canals Caused by a Unilateral Dural Sinus Arteriovenous Fistula in a Patient With Cerebral Venous Thrombosis

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Tung Thanh Hoang ◽  
Hoa Dung Do ◽  
Ha Thai Do ◽  
Cuong Ngoc Nguyen ◽  
Wallace L.M. Alward
Keyword(s):  
Venous Thrombosis ◽  
Arteriovenous Fistula ◽  
Cerebral Venous Thrombosis ◽  
Dural Sinus

Rapid and Progressive Venous Thrombosis After Occlusion of High-Flow Arteriovenous Fistula

2013 ◽  
Vol 80 (6) ◽  
pp. e359-e365 ◽  
Author(s):  
L. Fernando Gonzalez ◽  
Nohra Chalouhi ◽  
Pascal Jabbour ◽  
Sonia Teufack ◽  
Felipe C. Albuquerque ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Arteriovenous Fistula ◽  
High Flow

Comparison of clear effect and the complications, and short and mid-term effects between ultrasound-guided and non-guided catheter-directed thrombolysis in the treatment of deep venous thrombosis of lower extremity

Vascular ◽  
2018 ◽  
Vol 27 (3) ◽  
pp. 277-283
Author(s):  
Chengyan Zhu ◽  
Huawei Zhuo ◽  
Yi Qin ◽  
Weiwei Zhang ◽  
Junlan Qiu ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Arteriovenous Fistula ◽  
Therapeutic Effects ◽  
Ultrasound Guided ◽  
Catheter Directed Thrombolysis ◽  
Before And After ◽  
Group A ◽  
Group B

Objective To compare the therapeutic effects of ultrasound-guided and non-guided catheter-directed thrombolysis in the treatment of deep venous thrombosis of lower extremity. Methods From August 2015 to April 2016, 60 patients with lower extremity deep venous thrombosis were randomly divided into two groups ( n = 30 for each) to receive catheter-directed thrombolysis. Group A was treated under the ultrasound guidance, while Group B was treated without guidance. Results Catheter-directed thrombolysis was successfully performed by only one intubate in Group A but by 5.9 intubates in Group B. It took 15.4 ± 3.2 min in Group A, significantly less than that in Group B (30.8 ± 6.6 min, p < 0.05). The incidences of hematoma were also remarkably different between the two groups (3.33% vs. 26.67%, p = 0.026). No pseudoaneurysm or arteriovenous fistula was found in Group A, but there were two cases of pseudoaneurysm and two cases of arteriovenous fistula in Group B (both 6.67%, p = 0.492). The circumference differences of the affected limb between before and after thrombolysis were 49.47 ± 2.484 mm in Group A, significantly higher than that in Group B (28.40 ± 2.856 mm, p < 0.001). After treatment, the venous unobstructed improvement rates and deep vein patency rate were both better than those in Group B (77 + 2.603% vs. 57.23 + 1.828% and 80% vs. 46.67%, respectively; p < 0.001). There were only three cases of PTS in Group A (10%, 3/30), but there were 11 cases in Group B (36.67%, 11/30). Conclusion Ultrasound-guided catheter-directed thrombolysis has advantages, with improvement of venous patency and decrease of the incidence of PTS.

Outcomes following operative management of thoracic outlet syndrome in the pediatric patients

Vascular ◽  
2018 ◽  
Vol 26 (4) ◽  
pp. 410-417 ◽  
Author(s):  
Jesus M Matos ◽  
Lorena Gonzalez ◽  
Elias Kfoury ◽  
Angela Echeverria ◽  
Carlos F Bechara ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Thoracic Outlet Syndrome ◽  
Pediatric Patients ◽  
Treatment Success ◽  
Surgical Decompression ◽  
Rib Resection ◽  
First Rib ◽  
Temporary Arteriovenous Fistula ◽  
Clinical Records ◽  
First Rib Resection

Objectives Thoracic outlet syndrome, a condition commonly reported in adults, occurs infrequently in the pediatric population. The objective of this study was to assess the outcome of surgical interventions of thoracic outlet syndrome in pediatric patients. Methods Clinical records of all pediatric patients with thoracic outlet syndrome who underwent operative repair from 2002 to 2015 in a tertiary pediatric hospital were reviewed. Pertinent clinical variables and treatment outcomes were analyzed. Results Sixty-eight patients underwent a total of 72 thoracic outlet syndrome operations (mean age 15.7 years). Venous, neurogenic, and arterial thoracic outlet syndromes occurred in 39 (57%), 21 (31%), and 8 (12%) patients, respectively. Common risk factors for children with venous thoracic outlet syndrome included sports-related injuries (40%) and hypercoagulable disorders (33%). Thirty-five patients (90%) with venous thoracic outlet syndrome underwent catheter-based interventions followed by surgical decompression. All patients underwent first rib resection with scalenectomy via either a supraclavicular approach (n = 60, 88%) or combined supraclavicular and infraclavicular incisions (n = 8, 12%). Concomitant temporary arteriovenous fistula creation was performed in 14 patients (36%). Three patients with arterial thoracic outlet syndrome underwent first rib resection with concomitant subclavian artery aneurysm repair. The mean follow-up duration was 38.4 ± 11.6 months. Long-term symptomatic relief was achieved in 94% of patients. Conclusions Venous thoracic outlet syndrome is the most common form of thoracic outlet syndrome in children, followed by neurogenic and arterial thoracic outlet syndromes. Competitive sports-related injuries remain the most common risk factor for venous and neurogenic thoracic outlet syndromes. Temporary arteriovenous fistula creation was useful in venous thoracic outlet syndrome patients in selective children. Surgical decompression provides durable treatment success in children with all subtypes of thoracic outlet syndrome.

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