de Araujo Bessa J C
J Cardiovasc Surg (Torino). 1986 Jul-Aug;27(4):443-6.
Eighteen patients with femoral and iliofemoral venous thrombosis were treated surgically. Five of the patients had a moderate degree of venous congestion and were classified as having phlegmasia alba dolens and 13 patients had phlegmasia cerulea dolens. The mean age was 39 years, range 18-60 years; 6 were men and 12 women. Thrombectomy was performed with a Fogarty venous thrombectomy catheter. In all cases the thrombosis was verified by phlebography. Pre- and postoperative phlebography was used in all cases to show the patency of the femoral and iliofemoral segment. There was no operative pulmonary embolism or mortality. Heparin infusion was continued in the thrombectomized segment for 10 days followed by phenprocumone treatment. The patients were followed from 6 to 8 months, postoperatively. The operation was performed in the acute stage and the late results are as follows: 4 limbs good, 6 limbs fair and 8 limbs poor. The best results were obtained when the latency period was 24 to 72 hours. Postthrombotic sequelae could not be prevented in about 44% of all patients despite venous thrombectomy.
18例股静脉和髂股静脉血栓形成患者接受了手术治疗。其中5例患者有中度静脉淤血，被归类为白血栓性静脉炎，13例患者为青血栓性静脉炎。平均年龄39岁，范围为18 - 60岁；男性6例，女性12例。使用Fogarty静脉血栓切除术导管进行血栓切除术。所有病例均通过静脉造影证实有血栓形成。所有病例均采用术前和术后静脉造影来显示股静脉和髂股静脉段的通畅情况。术中无肺栓塞或死亡病例。在血栓切除段持续输注肝素10天，随后进行苯丙香豆素治疗。术后对患者进行了6至8个月的随访。手术在急性期进行，后期结果如下：4条肢体恢复良好，6条肢体恢复尚可，8条肢体恢复较差。当潜伏期为24至72小时时，取得了最佳结果。尽管进行了静脉血栓切除术，但仍有约44%的患者无法预防血栓形成后的后遗症。
