What is the role of thrombectomy in the treatment of inferior vena cava thrombosis (IVCT)?

Updated: Jun 12, 2018
  • Author: Luis G Fernandez, MD, FACS, FASAS, FCCP, FCCM, FICS, KHS, KCOEG; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Thrombectomy is often carried out for therapy of phlegmasia, but rethrombosis rates are significant and thrombectomy often does not completely remove the thrombus. The procedure is typically performed in conjunction with a distal arteriovenous fistula to maintain high flow, and it may be required for cases of septic thrombus. The operative mortality is reportedly 2%; the morbidity is 30%.


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