LONG TERM OUTCOMES OF SYSTEMIC ANTICOAGULATION TREATMENT FOR DEEP VEIN THROMBOSIS IN SHOHADAYE TAJRISH HOSPITAL DURING FIVE YEARS

Introduction & Objective: Outcomes of Deep Vein Thrombosis (DVT) is related to the anatomical location of thrombosed venous segments. The aim of DVT treatment is prevention from extension of thrombosis, recurrence of DVT, Pulmonary Emblolism, and Short term and long term sequela. In this study we compare the long term outcomes of systemic anticoagulation therapy in patients with iliofemoral and femoropopliteal vein thrombosis. Materials & Methods: All patients with iliofemoral or femoropopliteal vein thrombosis that treated by standard antithrombotic therapy between 2000-2003 were selected. Patients at 5 year follow up were reexamined. Vavular reflux and venous re canalization were studied with dupler sonography and analyzed by chi- squared test. Results: Patients with iliofemoral or femoropopliteal vein thrombosis were 52 and 85, respectively. Valvular reflux in patients with iliofemoral or femoropopliteal vein thrombosis were %81 and %61, respectively. The patency rate was %21 in iliofemoral DVT and %40 in femoropopliteal DVT. The rate of Post Thrombotic Syndrome was %40.5 and %21 in iliofemoral and femoropopliteal vein thrombosis, respectively. Conclusions: Because of higher rate and severity of morbidity in iliofemoral DVT patients, they need an aggressive approach in treatment such as catheter directed thrombolysis or surgical throbectomy for facilitated clot removal, preservation of functional valve and venous patency.