[Combination therapy of venous thrombosis with local thrombolysis and surgical thrombectomy]

Combination therapy in acute deep venous thrombosis essentially consists of a highly dosed locoregional thrombolysis of the valve carrying crurofemoral axis and a mechanical thrombectomy of the valveless pelvic axis by Fogarty catheter. The success of this method is due to the fact that it largely eliminates the disadvantages of systemic thrombolysis as well as conventional surgical thrombectomy whilst retaining the advantages. Using combination therapy within the first 7 days in acute leg and pelvic venous thrombosis can result in restutio ad integrum, i.e. complete desobliteration with maintained valve function (more than 80% of cases).