title: [Choice of fistulas optimal diameter while performance of thrombectomy from ileo-femoral venous segment].
abstract: The results of investigation of arterio-venous fistula (AVF) hemodynamics, depending on its diameter, were adduced. There were operated 98 patients for deep veins thrombosis (DVTH) of ileo-femoral segment, in 82 (83.7%) of them the extraction of a flotation thrombus with femoral vein ligation was performed, in 16 (16.3%)--thrombectomy from the ileo-femoral segment veins, in 14 (14.3%)--the intervention was added by formation of AVF. While AVF formation a lateral branches of femoral vein of a necessary diameter were applied. In all the patients AVF have closed spontaneously in terms from 3 to 10 weeks. While the accelerated blood flow presence in 1 (7.1%) patients a rethrombosis have occurred. Pulmonary thrombosis in operated patients did not occurr. Application of active surgical tactics in treatment of DVTH of ileo-femoral segment securely prophylacts the pulmonary thromboembolism, application of thrombectomy together with AVF formation of optimal diameter guarantees the essential reduction of the rethrombosis and complications occurrence rate.
authors.forename: Iu A
authors.initials: IuA
authors.lastname: Levchak
mesh_terms: D000328:Adult; D000368:Aged; D001164:Arteriovenous Fistula / Q000601:surgery*; D005260:Female; D005268:Femoral Vein / Q000473:pathology / Q000601:surgery*; D005269:Femur / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000517:prevention & control; D012008:Recurrence; D017131:Thrombectomy / Q000379:methods*; D020246:Venous Thrombosis / Q000473:pathology / Q000601:surgery*