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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2010 June;51(3):343-54

language: English

The surgical and endovascular management of deep venous thrombosis of the lower extremity

Giovannacci L. 1, Cefali P. 2, Rosso R. 1, Van Den Berg J. C. 3

1 Service of Vascular Surgery, Ospedale Regionale di Lugano, sede Civico, Lugano, Switzerland
2 Department of Vascular Surgery, Cliniche Humanitas-Gavazzeni, Bergamo, Italy
3 Service of Interventional Radiology, Ospedale Regionale di Lugano, sede Civico, Lugano, Switzerland


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This paper will discuss the clinical sequelae of deep venous thrombosis of the lower extremity and will deal briefly with conservative therapy. The (endo)vascular modalities that are currently used will be described more in detail, and includes systemic thrombolysis, surgical thrombectomy, catheter directed thrombolysis and other catheter based therapies like ultrasound assisted thrombolysis, pharmacomechanical thrombolysis and percutaneous mechanical thrombectomy. Results, advantages and disadvantages of each technique will be dealt with.

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