ALGORITHM FOR DIFFERENTIAL THERAPY IN CAS ES OF DEEP VENOUS THROMBOSIS

An algorithm for the adequate therapy of patients presenting a deep ve nous thrombosis has been developed which takes into consideration risk factors and contraindications of thrombectomy, thrombolysis and antic oagulation. We therefore followed-up all patients treated by thrombect omy in our department and compared these results to the literature. Wi thin a period of 8 years 62 patients underwent operative thrombectomy for deep venous thrombosis. In 11 patients (18%) the thrombus involved the vena cava. One patient died intraoperatively (1.6%), another five patients (8%) did not survive the 2-month postoperative period. After a mean follow-up time of 3.5 years (n = 54) the results have been eva luated in 32 patients (59%) as successful, in 12 patients (22%) as par tially successful, and in ten patients (19%) as unsuccessful.