What are the rethrombosis rates in surgical thrombectomy for deep venous thrombosis (DVT)?

Updated: Jun 06, 2019
  • Author: Kaushal (Kevin) Patel, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
  • Print
Answer

Outcomes from multiple studies have shown rethrombosis rates around 12% when a temporary arteriovenous fistula is used. Optimal results were found in thrombosis less than 7 days, clearance of thrombus from the external and internal iliac veins, intraoperative venography, early ambulation, and religious use of compression stockings. In a prospective randomized study from Sweden comparing surgery with anticoagulation, at 5 years, 37% of operated patients were asymptomatic, compared with just 18% in the anticoagulation group. Vein patency was 77% in the surgical group compared with just 30% in the anticoagulation group. [156]

Table. Surgical Thrombectomy with Temporary Arteriovenous Fistula in Early Iliac Vein Patency [157] (Open Table in a new window)

Study and Number of Patients

Patent Iliac Vein

Delin (13)

85%

Plate (31)

87%

Piquet (92)

80%

Einarsson (51)

88%

Juhan (42)

93%

Vollmar (93)

82%

Kniemeyer (185)

96%

Neglen (48)

89%

 

 

Total (555)

88%


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!