Surgical and endovascular prophylaxis of pulmonary arteries thromboembolism under floating phlebothrombosis
The study included 63 patients with acute thrombosis in the basin inferior vena cava who were treated in the clinic from 2006 to 2016 For instrumental diagnosis of deep venous thrombosis was using ultrasonic duplex scanning, retrograde ilocavography performed in patients with localization of thrombus in the iliac vena and the inferior vena cava. Angiopulmonography carried out in the presence of a clinical picture of pulmonary embolism and the basis of noninvasive tests. Patients were divided into three groups. In 23 cases (group 1) fulfilled the alloying operation. 35 patients of the 2nd group were implanted cava filter. 5 patients of the 3rd group fulfilled simultaneous surgery: thrombectomy of the common and deep femoral vein and pulmonary arteries. Comparative analysis of immediate results of surgical treatment of patients of the 1st and 2nd and 3rd groups from the focused on presence of complications and prevention of pulmonary embolism. Methods surgical prophylaxis in patients with floating thrombosis in the system of the inferior vena cava can be considered quite effective.