Skip to main content
SpringerLink
Log in

Venenthrombose und venöse Embolie der Bein- und Beckenvenen: Klinik und konventionelle Therapie

  • Chapter
  • First Online:
Operative und interventionelle Gefäßmedizin

Part of the book series: Springer Reference Medizin ((SRM))

  • 278 Accesses

Zusammenfassung

Moderne diagnostische Algorythmen ermöglichen heute eine sehe zuverlässige nicht-invasive Diagnostik der venösen Thromboembolie. Die Therapie ist meistens konservativ durch Antikoagulation und Kompression. Heparine, Vitamin K-Antagonisten and direkte orale Antikoagulazien kommen je nach Indikation und klinischer Situation zum Einsatz. Bei ausgedehnten iliofemoralen Thrombosen kann die Indikation für invasive, thrombusbeseitigende Maßnahmen bestehen. Endovaskuläre Verfahren stützen sich auf die Kombination von kathetergesteuerter Fibrinolyse und mechanischer Thrombusentfernung. Alternativ steht die chirurgische Thrombektomie zur Verfügung.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 389.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 399.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Literatur

  • AbuRahma AF et al (2001) Iliofemoral deep vein thrombosis: conventional therapy versus lysis and percutaneous transluminal angioplasty and stenting. Ann Surg 233:752–760

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (2012) Antithrombotic Therapy and Prevention of Thrombosis. Chest 141 (Suppl.2):e419S–494S.

    Google Scholar 

  • Arnesen H et al (1982) Streptokinase or heparin in the treatment of deep vein thrombosis. Follow-up results of a prospective study. Acta Med Scand 211:65–68

    Article  CAS  PubMed  Google Scholar 

  • Arnold TE et al (1993) Potential of overuse of the inferior vena cava filter. Surg Gynecol Obstet 177:463–467

    CAS  PubMed  Google Scholar 

  • Bjarnason H et al (1997) Iliofemoral deep venous thrombosis: safety and efficacy outcome during 5 years of catheter-directed thrombolytic therapy. J Vasc Interv Radiol 8:405–418

    Article  CAS  PubMed  Google Scholar 

  • Chung JW et al (2004) Acute iliofemoral deep vein thrombosis: evaluation of underlying anatomic abnormalities by spiral CT venography. J Vasc Interv Radiol 15:249–256

    Article  PubMed  Google Scholar 

  • Comerota AJ, Aldridge S (1992) Thrombolytic therapy for acute deep vein thrombosis. Semin Vasc Surg 5:76–81

    Google Scholar 

  • Comerora AJ, Gravett MH (2007) Iliofemoral venous thrombosis. J Vasc Surg 46:1065–1076

    Article  Google Scholar 

  • Comerota AJ, Paolini D (2007) Treatment of acute iliofemoral deep venous thrombosis: a strategy of thrombus removal. Eur J Vasc Endovasc Surg 33:351–360, discussion 361–352

    Article  CAS  PubMed  Google Scholar 

  • Comerota AJ et al (2000) Catheter-directed thrombolysis for iliofemoral deep venous thrombosis improves health-related quality of life. J Vasc Surg 32:130–137

    Article  CAS  PubMed  Google Scholar 

  • Douketis JD, Crowther MA, Foster GA, Ginsberg JS (2001) Does the location of thrombosis determine the risk of disease recurrence in patients with proximal deep vein thrombosis? Am J Med 110:515–519

    Article  CAS  PubMed  Google Scholar 

  • Elliot MS et al (1979) Comparative randomized trial of heparin versus streptokinase in the treatment of acute proximal venous thrombosis: an interim report of a prospective trial. Br J Surg 66:838–843

    Article  CAS  PubMed  Google Scholar 

  • Elsharawy M, Elzayat E (2002) Early results of thrombolysis vs anticoagulation in iliofemoral venous thrombosis. A randomised clinical trial. Eur J Vasc Endovasc Surg 24:209–214

    Article  CAS  PubMed  Google Scholar 

  • Farge D et al (2012) International clinical practice guidelines for the treatment and prophylaxis of venous thromboembolism in patients wich cancer. J Thromb Haemost 11:56–70

    Article  CAS  Google Scholar 

  • Gerhardt A et al (2000) Prothrombin and factor V mutations in women with a history of thrombosis during pregnancy and the puerperium. N Engl J Med 342:347–380

    Article  Google Scholar 

  • Girard PH et al (1989) Acute inferior vena cava thrombosis – early results of heparin treatment. Chest 95:284–291

    Article  CAS  PubMed  Google Scholar 

  • Gloor B et al (1996) Stellenwert der Chirurgie 1996 in der Behandlung der akuten tiefen Becken-Beinvenen-Thrombose. Gefäßchirurgie 1:91–97

    Google Scholar 

  • Gohel MS et al (2007) Long term results of compression therapy alone vs compression plus surgery in chronic venous ulceration (ESCHAR): randomized controlled trial. BMJ 335:83

    Article  PubMed  PubMed Central  Google Scholar 

  • Goldhaber SZ et al (1984) Pooled analyses of randomized trials of streptokinase and heparin in phlebographically documented acute deep venous thrombosis. Am J Med 76:393–397

    Article  CAS  PubMed  Google Scholar 

  • Hidajat N et al (2005) Portal vein thrombosis: etiology, diagnostic strategy, therapy, and management. Vasa 34:81–92

    Article  CAS  PubMed  Google Scholar 

  • Hood DB, Alexander JQ (2004) Endovascular management of iliofemoral venous occlusive disease. Surg Clin North Am 84:1381–1396, viii

    Article  PubMed  Google Scholar 

  • Interdisziplinäre S2-Leitlinie (2015) Diagnostik und Therapie der Venenthrombose und der Lungenembolie. VASA 45(S/90):1–48

    Google Scholar 

  • James AH (2009) Venous thromboembolism in pregnancy. Arterioscler Thromb Vasc Biol 29:326–331

    Article  CAS  PubMed  Google Scholar 

  • Jost CJ et al (2001) Surgical reconstruction of iliofemoral veins and the inferior vena cava for nonmalignant occlusive disease. J Vasc Surg 33:320–327, discussion 327–328

    Article  CAS  PubMed  Google Scholar 

  • Kahn SR et al On behalf of the American Heart Association Council on Peripheral Vascular Disease, Council on Clinical Cardiology, and Council on Cardiovascular and Stroke Nursing (2014) The postthrombotic syndrome: evidence-based prevention, diagnosis, and treatment strategies: a scientific statement from the American Heart Association. Circulation 130(18):1636–1661

    Google Scholar 

  • Karnik R et al (1993) Cavafilter: Indikation und Management. Vasa (Suppl)40:10–13

    Google Scholar 

  • Kearon C (2003) Natural history of venous thromboembolism. Circulation 107:I-22–I30

    Google Scholar 

  • Kibbe MR et al (2004) Iliac vein compression in an asymptomatic patient population. J Vasc Surg 39:937–943

    Article  PubMed  Google Scholar 

  • King CS et al (2013) Moving toward a more ideal anticoagulant. The oral direct thrombin and factor Xa inhibitors. Chest 143:1106–1116

    Article  CAS  PubMed  Google Scholar 

  • Kniemeyer HW et al (1995) Thrombectomy with arteriovenous fistula for embolizing deep venous thrombosis: an alternative therapy for prevention of recurrent pulmonary embolism. Surgery 118:49–53

    Article  CAS  PubMed  Google Scholar 

  • Kölbel T et al (2007) Extensive acute deep vein thrombosis of the iliocaval segment: midterm results of thrombolysis and stent placement. J Vasc Interv Radiol 18:243–250

    Article  PubMed  Google Scholar 

  • Kölbel T et al (2008) Thrombus embolization into IVC filters during catheter-directed thrombolysis for proximal deep venous thrombosis. J Endovasc Ther 15:605–613

    Article  PubMed  Google Scholar 

  • Kreuter M, Mathis G (2014) Emergency ultrasound of the chest. Respiration 87:89–97

    Article  PubMed  Google Scholar 

  • Lang WM et al (1994) Cavafilter zur Prophylaxe der Lungenembolie. Ist die Implantation noch gerechtfertigt? Zentralbl Chir 119:625–630

    CAS  PubMed  Google Scholar 

  • Luther B (2006) Thrombose und Gravidität. Möglichkeiten der operativen Behandlung. Geburtsh Frauenheilk 66:128–134

    Article  Google Scholar 

  • Marik PE, Plante LA (2008) Venous thromboembolic disease and pregnancy. N Engl J Med 359:2025–2033

    Article  CAS  PubMed  Google Scholar 

  • Mavor GE, Galloway JM (1969) Iliofemoral venous thrombosis. Pathological considerations and surgical management. Br J Surg 56:45–59

    Article  CAS  PubMed  Google Scholar 

  • May R, Thurner J (1956) A vascular spur in the vena iliaca communis sinistra as a cause of predominantly left-sided thrombosis of the pelvic veins. Z Kreislaufforsch 45:912–922

    CAS  PubMed  Google Scholar 

  • McCowan TC et al (1992) Complications of the nitinol vena cava filter. J Vasc Interv Radiol 3:401–408

    Article  CAS  PubMed  Google Scholar 

  • Mewissen MW et al (1999) Catheter-directed thrombolysis for lower extremity deep venous thrombosis: report of a national multicenter registry. Radiology 211:39–49

    Article  CAS  PubMed  Google Scholar 

  • Myers DD Jr (2015) Pathophysiology of venous thrombosis. Phlebology 30(1 Suppl):7–13

    Article  PubMed  Google Scholar 

  • O’Sullivan GJ et al (2000) Endovascular management of iliac vein compression (May-Thurner) syndrome. J Vasc Interv Radiol 11:823–836

    Article  PubMed  Google Scholar 

  • Ogawa T et al (2005) Intermittent pneumatic compression of the foot and calf improves the outcome of catheter-directed thrombolysis using low-dose urokinase in patients with acute proximal venous thrombosis of the leg. J Vasc Surg 42:940–944

    Article  PubMed  Google Scholar 

  • Pillny M, Sandmann W (2005) Chirurgische Therapie der Beinvenenthrombose. Gefässchirurgie 10:367–375

    Article  Google Scholar 

  • Plate G et al (1997) Venous thrombectomy for iliofemoral vein thrombosis – 10-year results of a prospective randomised study. Eur J Vasc Endovasc Surg 14:367–374

    Article  CAS  PubMed  Google Scholar 

  • Raju S et al (2002) Recanalization of totally occluded iliac and adjacent venous segments. J Vasc Surg 36:903–911

    Article  PubMed  Google Scholar 

  • Sandmann W et al (1997) Surgery for inferior vena cava thrombosis in patients with and without previous filter placement. In: Greenhalgh RM, Powell JT (Hrsg) Inflammatory and thrombotic problems in vascular surgery. WB Saunders Company Ltd, London, S 341–355

    Google Scholar 

  • Schulman S (2014) Advantages and limitations of the new anticoagulants. J Intern Med 274:1–11

    Article  CAS  Google Scholar 

  • Seligsohn U, Lubetsky A (2001) Genetic susceptibility to venous thrombosis. N Engl J Med 344:1222–1231

    Article  CAS  PubMed  Google Scholar 

  • The task force for the diagnosis and management of acute pulmonary embolism (2014) ESC guidelines on the diagnosisand management of acute pulmonary embolism. Eur Heart J 35:3033–3080

    Article  CAS  Google Scholar 

  • Thery C et al (1992) Predictive factors of effectiveness of streptokinase in deep venous thrombosis. Am J Cardiol 69:117–122

    Article  CAS  PubMed  Google Scholar 

  • Thomas ML, McAllister V (1971) The radiological progression of deep venous thrombus. Radiology 99:37–40

    Article  CAS  PubMed  Google Scholar 

  • Vedantham S et al (2006) Reporting standards for endovascular treatment of lower extremity deep vein thrombosis. J Vasc Interv Radiol 17:417–434

    Article  PubMed  Google Scholar 

  • Wells PS et al (1998) Accuracy of clinical assessment of deep vein thrombosis. Lancet 345:1326–1330

    Article  Google Scholar 

  • White RH, Gosselin RC (2009) Testing for thrombophilia: pitfalls, limitations, and marginal impact on treatment duration recommendations. Mt Sinai J Med 76:303–313

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Gefäßpraxis im Tal, München, Deutschland

    Federico Tató

Authors
  1. Federico Tató
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Federico Tató .

Editor information

Editors and Affiliations

  1. Klinik und Poliklinik für Gefäßmedizin Gefäßchirurgie – Angiologie – endovaskuläre Therapie, Universitätsklinikum Hamburg-Eppendorf Universitäres Herz- und Gefäßzentrum, Hamburg, Germany

    Eike Sebastian Debus

  2. Abteilung für Diagnostische und Interventionelle Radiologie, Asklepios Klinikum Harburg, Hamburg, Germany

    Walter Gross-Fengels

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Tató, F. (2020). Venenthrombose und venöse Embolie der Bein- und Beckenvenen: Klinik und konventionelle Therapie. In: Debus, E., Gross-Fengels, W. (eds) Operative und interventionelle Gefäßmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53380-2_93

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-53380-2_93

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53378-9

  • Online ISBN: 978-3-662-53380-2

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation