M. Perrin (Chirurgien vasculaire, ancien interne, ancien chef de clinique des Universités, ancien assistant des hôpitaux de Lyon) , J.-L. Gillet (Médecin vasculaire) , J.-J. Guex (Médecin vasculaire)
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引用次数: 11
Abstract
Today, as a result of the availability of new noninvasive investigation procedures, the post-thrombotic syndrome is better known and identified. Nevertheless, clear epidemiological data still lack. The assessment can be performed at three different levels, increasingly complex depending on clinical data, with the awareness that none of the investigations provide complete information. Conservative treatment remains the cornerstone, and patients must be regularly followed-up. Surgery for superficial venous insufficiency must be proposed when predominant, but this case is not frequent. Perforator interruption is debated. Reconstructive deep venous surgery for an obstruction and/ or a reflux should be considered in specialized units in case of conservative treatment failure.
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