J.Jpn. Surg. Soc.. 93(9): 1052-1054, 1992
Report on the annual meeting
CONSERVATIVE TREATMENT FOR ACUTE DEEP VEIN THROMBOSIS OF LOWER EXTREMITIES
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The First Department of Surgery, Tokyo Medical and Dental University, Tokyo, Japan Shoji Sato, Takehisa Iwai, Kenichi Sakurazawa, Yoshinori Inoue, Noriaki Takiguchi, Norihide Sugano, Mitsuo Endo |
Only three patients underwent thrombectomy of restricted iliac venous regions by Fogarty catheter within 24 hours of the onset and their symptoms were relieved immediately after operation with good follow-up condition.
Forty-five limbs were treated conservatively. Among 45 limbs, 15 limbs were treated within 7 days of symptom's onset using heparin and urokinase for 6-10 days followed by oral anticoagulant. Forty-seven percent of the patients were freed from their symptoms within one year. However 30 limbs received conservative therapy after 7 days of the onset showed 23% recovery from their symptoms within one year and in extensive thrombosis recovery was only 14%.
We concluded that conservative treatment for DVT was effective if it was started within 7 days of the onset, and thrombectomy of ilio-femoral regions might be more effective than conservative treatment under the same condition.
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