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A surgeon at Johns Hopkins Hospital in Baltimore has found that thrombectomy may become the treatment of choice for the relief of the acute symptoms of venous occlusion and may prevent the development of the crippling postphlebitic syndrome.
J. Alex Haller, Jr., MD, associate professor of surgery, reported at the Clinical Convention on his experience with surgical treatment of deep thrombophlebitis of the leg. Acute iliofemoral venous thrombosis, following either surgery or injury, is often accompanied by any of three major complications, according to Haller. They include:
Massive extension of the thrombosis;
Pulmonary embolization; and
Later development of a postphlebitic limb.
The cause of iliofemoral venous thrombosis has not been established, Haller said, although infection, alterations in blood coagulation, stasis, and trauma have been suggested. Accompanying edema is thought to be at least partially due to obstructed lymphatic drainage of the leg. Haller cited recent studies that
Thrombectomy Suggested for Venous Occlusion. JAMA. 1964;190(10):28. doi:10.1001/jama.1964.03070230100055