Bertanha Matheus, Pimenta Rafael Elias Farres, Brandão Gustavo Muçouçah Sampaio, Sobreira Marcone Lima, Moura Regina, Jaldin Rodrigo Gibin, de Camargo Paula Angeleli Bueno, Yoshida Winston Bonetti
Universidade Estadual Paulista Júlio de Mesquita Filho - UNESP, Faculdade de Medicina de Botucatu, Departamento de Cirurgia e Ortopedia, Botucatu, SP, Brasil.
J Vasc Bras. 2017 Oct-Dec;16(4):314-319. doi: 10.1590/1677-5449.005817.
A floating venous thrombus in the femoral vein is a type of thrombus with a high potential for pulmonary embolization. However, the most appropriate management for these cases is still controversial. Clinical treatments, using anticoagulants or fibrinolytics, open thrombectomies, or thrombectomies by means of endovascular devices have all been used, although the criteria for indication of each are not yet defined. We present 3 clinical cases of floating thrombi in femoral veins with different etiologies and discuss their respective treatments and outcomes.
股静脉漂浮性静脉血栓是一种具有高肺栓塞风险的血栓类型。然而,对于这些病例的最佳治疗方法仍存在争议。临床治疗中,抗凝剂或纤溶剂、开放性血栓切除术或通过血管内装置进行的血栓切除术均有应用,尽管每种治疗方法的适应症标准尚未明确。我们呈现3例病因不同的股静脉漂浮血栓临床病例,并讨论其各自的治疗方法及结果。