Journal «Angiology and Vascular Surgery» • 

2014 • VOLUME 20 • №1

Peculiarities of treatment policy for lower-limb phlebothromboses

Kletskin A.E., Kudykin M.N., Mukhin A.S., Durandin P.Yu.

Chair of Surgery of the Faculty of Advanced Medical Training of the Nizhny Novgorod State Medical Academy, Phlebology Department of City Clinical Hospital No40, Nizhny Novgorod, Russia

Quality of treatment for acute venous thrombosis is determined by adequacy of conservative treatment and optimization of the operative procedure. We analysed the outcomes of management of 1,768 patients presenting with various forms of lower-limb phlebothrombosis. Deep veins were affected in 1,158 (65.5%) cases. Of these, thrombosis of crural veins was revealed in 672 (58%) patients, iliofemoral phlebothrombosis in 486 (42%) subjects. A total of 47 (9.7%) patients were operated on for iliofemoral thrombosis with floating thrombus confirmed by ultrasonic angioscanning. Criteria for floatation were determined. A total of 610 (43.5%) patients were diagnosed as having ascending subcutaneous thrombophlebitis of the femur. Of these, a total of 592 (97%) patients were operated on within 1-48 hours following admission. We propose a methodology of comprehensive conservative treatment with the use of Antistax in a double dose and alternating pneumocompression with elevated pressure in the cuffs.

KEY WORDS: acute venous thrombosis, floating thrombus, antistax, alternating pneumocompression.

P. 120

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