[Ischemic phlebitis and venous gangrene]

Area of Science:

• Vascular Surgery
• Thrombotic Disorders

Background:

• Ischaemic phlebitis and venous gangrene are severe vascular conditions.
• Massive thrombosis can lead to dramatic disease progression.

Purpose of the Study:

• To report on cases of ischaemic phlebitis and venous gangrene.
• To discuss aetiopathogenetic factors contributing to these conditions.
• To evaluate treatment strategies and prognoses.

Main Methods:

• Case reporting of 17 ischaemic phlebitis and 5 venous gangrene cases.
• Analysis of aetiopathogenetic factors including heparin depression, polyglobulia, dysproteinaemia, and arterial involvement.
• Review of medical and surgical treatment outcomes.

Main Results:

• Identified key factors contributing to thrombosis and disease progression.
• Medical and surgical treatments, including anticoagulants, dextrane, and thrombolytics, yielded variable results.
• Early venous disobstruction with a Fogarty catheter and anticoagulation showed the best outcomes.

Conclusions:

• Prognosis is significantly better for ischaemic phlebitis compared to venous gangrene.
• Venous gangrene carries a poor prognosis, with survival impacted by shock.
• Optimal management involves early intervention and sustained anticoagulation.