SURGICAL AND ENDOVASCULAR PROPHYLAXIS OF PULMONARY EMBOLISM IN DEEP VEINS THROMBOSIS OF LOWER LIMBS AND PELVIS

D.L. KIM, S.M. MUMINOV, B.P. KHAMIDOV, N.G. DADAMYANTS, F.Z. JALALOV, D.D. ALIMUKHAMEDOV, S.M. ABDULLAEV

Abstract

An analysisof the results of the examination and treatment of 668 patients with deep vein thrombosis of the inferior vena cava system (IVC) in the Department of vascular surgery of the Republican Research Centre of Emergency Medicine, undergone surgical prophylaxis of pulmonary embolism from 2003 to 2018, was performed. Depending on the pulmonary embolism prophylaxis methods, patients were divided into 2 groups: group 1 included 563 patients (84.3%) who underwent surgical prophylaxis; group 2 included 105 (15.7%) patients who underwent endovascular cava filter placement using     52Вестник экстренной медицины, 2020, том 13, No 1–2angiography. The number of complications in the early postoperative period during IVC clipping was minimal – 0.5%, compared with IVC plication – 6.9% and CF implantation – 3.8%, and mortality after IVC clipping and cava filter placement was similar: 1,0% and 0.9%, respectively, and with after IVC plication mortality was 3.4%. In complicated forms of acute venous thrombosis, surgical treatment is the optimal method for preventing pulmonary embolism, and the use of developed cava-clipping devices convincingly shows the reliability of the latter