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- Title
Open surgery for iliofemoral deep vein thrombosis with temporary arteriovenous fistula remains valuable.
- Authors
Wagenhäuser, Markus U.; Sadat, Hellai; Dueppers, Philip; Meyer-Janiszewski, Yvonne K.; Spin, Joshua M.; Schelzig, Hubert; Duran, Mansur
- Abstract
Objective We assessed outcomes of open surgical venous thrombectomy with temporary arteriovenous fistula, and the procedure’s effect on health-related quality of life. Method We retrospectively analyzed 48 (26 at long-term) patient medical records. Mortality rates, patency, and risk of post-thrombotic syndrome were analyzed using Kaplan–Meier estimation. The association between risk factors/coagulation disorders and patency/post-thrombotic syndrome along with patient health-related quality of life at long-term was analyzed employing various statistical methods. Results Patient one-year survival rate was 93 ± 4% and primary one-year patency rate was 89 ± 5% (secondary one-year patency rate 97 ± 3%). Freedom from post-thrombotic syndrome after eight years was 80 ± 12% (post-thrombotic syndrome rate 20 ± 12%). Health-related quality of life was impaired vs. normative data in the physical and social subscales, and in the mental component score (p < .05). Conclusions Open surgical venous thrombectomy appears safe compared with literature-reported outcomes in similar patients using alternative approaches. Iliofemoral deep vein thrombosis impairs physical, social, and mental health-related quality of life.
- Subjects
FEMORAL vein; ILIAC vein; POSTTHROMBOTIC syndrome; ARTERIOVENOUS fistula; VASCULAR resistance; MORTALITY; HEALTH outcome assessment; QUALITY of life; SURVIVAL analysis (Biometry); VENOUS thrombosis; RETROSPECTIVE studies; DESCRIPTIVE statistics; KAPLAN-Meier estimator; SURGERY; DISEASE risk factors
- Publication
Phlebology, 2018, Vol 33, Issue 9, p600
- ISSN
0268-3555
- Publication type
Article
- DOI
10.1177/0268355517736437