This report describes the surgical management of three patients with a
n extended ilio-femoral deep venous thrombosis. In the first patient a
residual occlusion of the common iliac vein was treated conservativel
y and this patient developed severe chronic venous insufficiency. In t
he second patient a residual (sub)occlusion of the common iliac vein w
as treated with a stent and this patient remained asymptomatic with tw
o years follow-up. In the third patient no residual or underlying anat
omical abnormality was found with a good result at one year. Venous th
rombectomy still has a place in the treatment of deep venous thrombosi
s and the long term results may be improved by application of endovasc
ular techniques.