An active surgical approach of treatment of embologenic venous thromboses in the basin of the lower vena cava
Abstract
Surgical approach of treatment of embologenic venous thromboses in the inferior vena cava segment is presented. The most part of patients are operated in the first days of admittance. They were mainly in the subacute period of venous thrombosis that testifies to insufficiently effective work of primary surgical link and surgical departments. Operations were performed on iliac segment, inferior vena cava, including either thrombectomy from the suprarenal inferior vena cava or thrombectomy from the right heart or embolectomy from pulmonary arteries in temporary occlusion of vena cava, bandaging of the infrarenal vena cava segment, nephrectomy, alloprosthesis of the suprarenal vena cava segment. The active surgical approach of treating patients with floating thromboses of the inferior vena cava segment allows to save patients in 98% cases.
About the Authors
A. P. Sakharyuk
SBEI HPE «Amur State Medical Academy» МH RF
Russian Federation
Russian Federation
Alexander P. Sakharyuk – doctor of med. sciences, prof.
A. A. Grigorenko
SBEI HPE «Amur State Medical Academy» МH RF
Russian Federation
Russian Federation
Alexey A. Grigorenko – doctor of med sciences, head of the department.
E. S. Tarasyuk
SBEI HPE «Amur State Medical Academy» МH RF
Russian Federation
Russian Federation
Evgeniy S. Tarasyuk − post-graduate student.
V. V. Shimko
SBEI HPE «Amur State Medical Academy» МH RF
Russian Federation
Russian Federation
Vladimir V. Shimko – doctor of med. sciences, prof.
A. N. Verevetinov
SBEI HPE «Amur State Medical Academy» МH RF
Russian Federation
Russian Federation
Artem N. Verevetinov − post-graduate student.
References
1. Pokrovsky A.V. Clinical Angiology / A.V. Pokrovsky. – M.: Medicine, 2004. – P. 1700.
2. Saveliev V.S. Phlebology / V.S. Saveliev. – M.: Medicine, 2001. – P. 659.
3. Saharyuk A.P. The structure of mortality from venous thromboembolic complications / A.P. Saharyuk, V.V. Shimko, E.S. Tarasyuk, A.N. Yemets // Proceedings of the XXIX International Conference of the Russian Society of Angiology and Vascular Surgery «New directions and long-term results of open and endovascular interventions in the treatment of vascular patients». – Ryazan, 2014. – Р. 305-307.
4. Saharyuk A.P. Mortality from venous thromboembolic disorders in the Amur region / A.P. Saharyuk, V.V. Shimko, E.S. Tarasyuk, A.N. Yemets // Outpatient Surgery: inpatient technology. – 2014. -№ 1-2. – P. 62-64.
5. Shevchenko Y.L. Clinical Fundamen-tals of Phlebology / Y.L. Shevchenko. – M.: Medicine, 2005. – P. 312.
6. Ansari A. Acute chronic pulmonary thromboembolism: current perspectives Part. 6. Course and prognosis and natural history / A.A. Ansari // Clin. Cardiology. – 1987. – Vol. 10. – P. 40 – 45.
7. Jing Z. Comparative study of ultrasonic detection of popliteal vein reflux / Z. Jing, P. Lu, G. Cao // Chung Hua – Wai – Ко – Tsa– Chin. 1995. – Vol. 33, №2. – P. 108-111.
8. Johansson E. Venous thrombectomy in the lower extrimityclinical, phlebo-graphic and plethysmographic evaluation of early and late results / E. Johansson, S. Nordlander, S. Zetterquist // Acta. Chir. Scand. – 1973. – Vol. 139. – P. 511 – 516.
Review
For citations:
Sakharyuk A.P., Grigorenko A.A., Tarasyuk E.S., Shimko V.V., Verevetinov A.N. An active surgical approach of treatment of embologenic venous thromboses in the basin of the lower vena cava. Yakut Medical Journal. 2015;(2):84-85.
Views:
34
Email this article 