Combined treatment of acute deep vein thrombosis of the lower limbs

Vasylij Rusin, Vjacheslav Korsak, Yaroslav Popovich, Patricia Boldizhar

Abstract


The article represents the combined treatment results analysis of 50 patients with deep vein thromboses of inferior vena cava system. The complex clinical and instrumental examination of patients included duplex ultrasound scan, X-ray phlebography, multislice computed tomography with intravenous contrast and radionuclide fleboscintigrahpy. All patients were performed the regional thrombolytic therapy, combined with an open palliative thrombectomy in 19 (38%) patients and endovascular implantation of a temporary or constant cava-filter in 31 (62%) patients. In postoperative period for 12 months’ monitoring the local and general complications after combined treatment were found in 4 (8.0%) out of 50 patients, who were performed the combined treatment.


Keywords


deep vein thrombosis; regional thrombolytic therapy; cava-filter; combined treatm ent

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References


Heit JA. The epidemiology of venous thromboembolism in the community. Arterioscler. Thromb. Vasc. Biol. 2008; 28:370-372.

Boyko VN, Bereznytsky JC, Wenger IK et al. Venous thromboembolism: diagnosis, treatment and prevention. Interdisciplinary clinical guidelines. K. 2011;110 .

Decousus H. Superficial venous thrombosis and venous thromboembolism: a large, prospective epidemiologic study. 2010;152 (4):218-224.

Bodnar W. Treatment of acute venous tromboembolism and prevention of its recurrence: focus on oral anticoagulant. Medicine Review. Cardiologic Almanac–2015. Achieving in diagnosis, treatment and prevention of cardiovascular diseases. 2015;65-78.

Konstantinides SV, Torbick A, Angelli G et al. ESC Guidelines on the diagnosis and management of acute pulmonary embolism. The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology. Eur. Heart. J. 2014;35 (43):3033-3069.

Prevention and treatment of venous thromboembolism. International Consensus Statement (Guidelines according to scientific evidence). International angiology. 2013;32(2):256.

Boyko VN, Bereznytsky JS, Wenger IK et al. Venous thromboembolism: diagnosis, treatment and prevention. Interdisciplinary clinical recommendations: scientific publications. Kyiv. 2013; 63.

Boyko VV, Zamyatin PN, Frank Owusu et al. Risk factors of thrombosis of pulmonary artery in the patients with traumatic illness. Clinical Surgery. 2008;11-12(781-782):81-82.

Prasol VA, Myshenyna EV, Okleit DV. Tactics in treatment of patient with continuing vein thrombosis. Clinical Surgery. 2015;3(871):36-38.

The Vein Book: monograph / Edited by:John J. Bergan // London-Oxford: Elsevier Academic Press. 2007; 617.




DOI: http://dx.doi.org/10.21802/gmj.2017.2.14

Copyright (c) 2017 Vasylij Rusin, Vjacheslav Korsak, Yaroslav Popovich, Patricia Boldizhar

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