[Clinical treatment of post-thrombotic deep veins of lower limbs]

From 1989 to 1995, 213 patients with chronic post-thrombotic syndrome of the deep veins of lower limbs were treated. The surgical approaches consisted of establishment of temporary distal arteriovenous fistula for iliac and iliofemoral occlusion, and bypass of suitable length of autogenous vein with temporary distal arteriovenous fistula. Those who were not candidates for surgery were treated continuously by conservative methods with periodical short-term thrombolysis. A mean follow-up of 37.3 months the cure rate and the effective rate were 50.9% and 83.5% respectively. The authors suggest that different methods may be used in different patients, and the temporary distal arteriovenous fistula is a new approach of the posthrombotic legs.