[Surgical prophylaxis of pulmonary embolism].
144 patients were operated on for deep vein thrombosis. Color duplex lower limb vessels scanning was he basic diagnostic procedure performed preoperatively. Operative treatment corresponded floating trombectomy and main vein placation as a means of pulmonary embolism prophylaxis. Thrombosis located in deep tibial veins (65.9%), deep femoral vein (12.5%), popliteal vein (9.7%), femoral vein (8.4%) and lower limb subcutaneous veins (3.5%). 88,9% of thrombs were considered as floating. Thrombectomy was performed in 90.9%, exclusion was made for the popliteal localization of occlusion. Partial main veins occlusion was performed in 94.4%. The procedure was rejected in cases of successful complete embolus evacuation (2.1%) or subcutaneous thrombosis localization. Long-term follow-up (15.35+/-7.7 months) revealed complete plication area recanalization in 85.9%, the rest patients demonstrated partial recanalization, though with a substantial blood flow improvement.
Nizhnichenko
V B
VB
Evdokimov
A G
AG
Oleĭnikova
E N
EN
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000209:etiology / Q000517:prevention & control*; D012189:Retrospective Studies; D017131:Thrombectomy / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D020246:Venous Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*