Abstract:The late results of venous thrombectomy could be remarkably improved by routine use of intraoperative vascular endoscopy and additional temporary a.v.-fistula. Long-term follow-up (mean 8 y.) of 119 patients (Ulm 1970-1983) showed full patency in 75% (phlebography) and very good function in 63% (phlebodynamometrie). With improved surgical technique the preservation of values is possible. Mortality was 1,8% and the incidence of clinically relevant postoperative pulmonary embolism was lower than 2%.
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