RESUMO
Lysis of deep venous thrombotic obstruction in the extremities has been shown to decrease the frequency and severity of symptoms of postthrombotic syndrome. However, for those lesions that contain organized thrombus, the use of conventional methods to lyse thrombus is less successful than for acute thrombus. The authors here present a novel method for treatment of older, organized thrombus using excimer laser. This technique can obviate some of the limitations of the other methods and allow effective treatment when other methods fail. It has been used successfully in 19 patients with excellent results and is recommended for those cases.
Assuntos
Angioplastia com Balão , Terapia a Laser/instrumentação , Lasers de Excimer , Síndrome Pós-Trombótica/prevenção & controle , Procedimentos Cirúrgicos Vasculares/instrumentação , Trombose Venosa/terapia , Angioplastia com Balão/instrumentação , Doença Crônica , Constrição Patológica , Humanos , Flebografia , Síndrome Pós-Trombótica/diagnóstico por imagem , Síndrome Pós-Trombótica/etiologia , Stents , Resultado do Tratamento , Trombose Venosa/complicações , Trombose Venosa/diagnóstico por imagem , Trombose Venosa/cirurgiaRESUMO
Primary aortic tumors are rare; only 86 cases of primary aortic angiosarcoma have been reported since its first description in 1873. The diagnosis of aortic angiosarcoma is usually confirmed by postoperative pathologic examination or postmortem study. The authors present a case of primary aortic angiosarcoma with postresection recurrence.