Open Surgical Management of Deep Venous Occlusive Disease.

Open Surgical Management of Deep Venous Occlusive Disease. - 2018

Copyright (c) 2018. Published by Elsevier Inc. Endovascular techniques have revolutionized the management of deep venous occlusive disease. Open surgery, however, is still required for cases that prove refractory to endovascular interventions. The surgical management of deep venous occlusive disease typically involves venous bypass. Preoperative planning before open venous surgery relies upon dynamic imaging to clarify the location and severity of venous obstruction, the assessment of infrainguinal reflux, and the delineation of bypass origination and target vessels. Adjunct arteriovenous fistulas and anticoagulation may improve patency rates of open surgical venous bypass. The timely recognition and management of complications improves secondary patency rates.


English

1557-9808

10.1053/j.tvir.2018.03.008 [doi] S1089-2516(18)30018-0 [pii]


*Blood Vessel Prosthesis Implantation/mt [Methods]
*Saphenous Vein/tr [Transplantation]
*Veins/su [Surgery]
*Venous Thrombosis/su [Surgery]
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation/ae [Adverse Effects]
Blood Vessel Prosthesis Implantation/is [Instrumentation]
Humans
Saphenous Vein/dg [Diagnostic Imaging]
Saphenous Vein/pp [Physiopathology]
Treatment Outcome
Vascular Patency
Veins/dg [Diagnostic Imaging]
Veins/pp [Physiopathology]
Venous Thrombosis/dg [Diagnostic Imaging]
Venous Thrombosis/pp [Physiopathology]


MedStar Washington Hospital Center


Surgery/Vascular Surgery


Journal Article

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