[Possibilities for vascular reconstruction in the post-thrombotic syndrome]

Reconstructive surgery of deep vein thrombosis is technically established. Results, however, are limited by the evolutive character of thrombotic processes and by the permanently impaired hemodynamics in veins with a postthrombotic condition. Long-term patency and functionally satisfactory reflux are not regularly achieved. Best suited are locally limited interventions in the main confluent venous trunks of the pelvic area, the groin and the popliteal groove. It ought to be kept in mind that every deep vein thrombosis simultaneously impairs the deep and superficial lymphatics. Surgical procedures in deep vein thrombosis should therefore try to prevent any further damage to lymph vessels.