Near-term results of surgical treatment of patients with iliocaval segment thrombosis

Abstract

Objective. To evaluate the immediate results of surgical prophylaxis of pulmonary thromboembolism
(PTE) by creating dosed mechanical obstacles to prevent thrombus migration.
Material and methods. The study included 311 patients with phlebothrombosis of the iliocaval segment,
to whom the methods of surgical prophylaxis of PTE were applied during the 20-year period of functioning of the vascular surgery department of the RRCEM, including 216 (69,5%) patients underwent open
surgical interventions, 95 (30,5%) – implantation of the cava-filter.
Results. The number of complications in the nearest postoperative period amounted to 1,6%. The lethal
outcome was observed in 0,65%, and PTE in 0,97% of cases.
Conclusion. In case of complicated forms of acute venous thrombosis the optimal method of PTE prophylaxis is surgical intervention, and the use of the developed cava-clipping devices convincingly shows both
reliability and simplicity of their installation.