Journal of Vascular Medicine & Surgery

Swee Leong Yap

Publications

• Review Article
  Management of Ilio-Femoral Deep Vein Thrombosis: A Hybrid Approach
  Author(s): Anastasia Dean, Swee Leong Yap and Venu BhamidipatyAnastasia Dean, Swee Leong Yap and Venu Bhamidipaty
  
  Despite recent innovations in clot lysis technology, management of acute ilio-femoral Deep Vein Thrombosis (DVT) remains a challenge worldwide. We revisit the work of a previous generation of vascular surgeons who created a temporary Arteriovenous Fistula (AVF) in combination with a surgical thrombectomy, to maximize blood flow through the newly revascularized vessel. Since this time, surgical thrombectomy along with the use of a temporary AVF, has been superseded by endovascular techniques: namely Catheter-Directed Thrombolysis (CDT) and Pharmacomechanical Thrombolysis (PMCT). We review the evolution of the management of ilio-femoral deep vein thrombosis, specifically examining the trials which investigate temporary AVF with surgical thrombectomy. Furthermore, we describe the surgical technique of creating a temporary AVF, including how to avoid venous hypertension and how to facilit.. View More»
  DOI: 10.4172/2329-6925.1000131

  Abstract PDF