Outcomes of surgical management of patients with thromboses of the superficial and deep venous system

Gavrilenko A.V., Vakhratyan P.E., Makhambetov B.A., Kim E.A.

Department of Vascular Surgery Federal Facility Russian Scientific Centre of Surgery named after B.V. Petrovskii under the Russian Academy of Medical Sciences, Moscow, Russia

Presented herein are the outcomes of examination, surgical management and conservative treatment of 211 patients presenting with phlebothromboses of the superficial and deep venous system of the lower limbs. Of these, 119 were treated conservatively and 92 underwent various types of surgical intervention, however those treated conservatively were not included into the final analysis.

The diagnosis was verified using ultrasonographic duplex scanning (USDS) of the venous system of the inferior vena cava basin, allowing of assessing the condition of the superficial and deep venous system of the both lower extremities, followed by determining the length of the thrombotic lesion. Based on the findings of USDS, 68 (74%) patients were found to have thrombosis of the superficial veins and 24 (26%) subjects were diagnosed with deep-vein thrombosis. All the patients in order to prevent thromboembolic complications were subjected to active surgical policy. Also studied were methods of surgical management in patients with various-localization thromboses.

Based on the obtained findings, it was determined that surgical treatment of patients with thromboses of the superficial and deep venous system of the lower limbs is a justified method to prevent the development of pulmonary thromboembolism.

KEY WORDS: ascending thrombosis of the great saphenous vein, deep-vein thrombosis, prevention of pulmonary thromboembolism.

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