Gibt es noch eine indikation zur chirurgischen therapie der tiefen becken-beinvenenthrombose?

Venous thrombectomy should be considered as a therapeutic option in each patient with evidence of a fresh deep vein thrombosis. Patients under 60 years with symptoms less than 7 days and mainly proximal vein thrombosis gain most from thrombectomy. Randomized and observational studies indicate that the incidence of a severe chronic venous insufficiency is significantly lower in these patients than in patients treated with heparin alone. Successful outcome depends also on non-traumatic operative technique, cell-saving, positive endexspiratory pressure (peep) ventilation and adjunctive procedures like intraoperative phlebographic control, local thrombolysis and intraoperative stenting of venous spurs if necessary.