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212 3 |
Ultima descărcare din IBN: 2024-03-29 21:22 |
Căutarea după subiecte similare conform CZU |
616.147.3-007.64-089-036.1 (1) |
Patologia sistemului circulator, a vaselor sanguine. Tulburări cardiovasculare (975) |
SM ISO690:2012 SOCHIRCĂ, Marcel, CULIUC, Vasile, CASIAN, Dumitru, GUTSU, Eugene. Early and late outcomes of surgical versus conservative treatment for free-floating thrombus in the deep veins of lower limbs. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 325. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.147.3-007.64-089-036.1 | ||||||
Pag. 325-325 | ||||||
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Background. The guidelines recommend anticoagulant therapy as a curative option of choice for free-floating thrombosis (FFT) in the deep vein of the lower limbs; certain surgical procedures being performed sporadically to reduce the rate of fatal pulmonary embolism (PE). Objective of the study. The aim of study was to evaluate comparatively the early and remote outcomes of surgical vs. conservative treatment for FFT. Material and Methods. The study group included 93 patients with FFT, diagnosed by duplex scanning. Median value of the length of FFT – 30 mm (25%-75% IQR 23-43). The surgical (S) group included 61 (65.59%) cases, while conservative (C) one – 32 (34.4%). Interventions carried out venous interruption by the modified DeWeeseSpencer procedure (n = 43), creation of Whitcomb sieve filter (n = 4), venous ligation (n = 13). Surgical venous thrombectomy was associated in 19 (31.14%) cases; and the arterio-venous fistula – in 2. The patients from group C were treated initially mainly with heparins (85.1%). Results. In group C there were 4 (12.5%) cases of PE occurring during hospitalization, while in group S – 5 (8.1%) cases of PE prevention (free-floating part of the thrombus was captured below the level of venous plication/ligation). At the follow-up period = 52.8 ± 36.56 months, both the rate of the postthrombotic syndrome itself and that of its severe form did not differ significantly between group S and C: 69.49% vs. 73.33% and, respectively, 30.5% vs. 30% (p–NS). Conclusion. In selective cases, surgical treatment for FFT in the deep veins of the lower limbs can reduce the rate of symptomatic PE, providing long-term clinical outcomes comparable to those obtained by conservative approach. |
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Cuvinte-cheie free-floating thrombus, deep vein thrombosis, surgical treatment, trombus flotant, tromboza venelor profunde, tratament chirurgical |
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