Method of surgical treatment of venous thrombosis using proximal protection

Khuziakhmedov A.N.¹, Khalilov I.G.¹, Komarov R.N.²

¹ Department of Vascular Surgery, Municipal Clinical Hospital № 7, Kazan,
² Department of Faculty Surgery № 1, Institute of Clinical Medicine named after N.V. Sklifosovsky, I.M. Sechenov First Moscow State Medical University of the RF Ministry of Public Health, Moscow, Russia

Pulmonary embolism ranks third among causes of death from cardiovascular diseases after acute coronary syndrome and impairment cerebral circulation. A factor provoking pulmonary embolism in the majority of cases is thrombosis of deep veins of lower limbs. Presented in the article is a clinical case report concerning treatment of a 35-year-old female patient with acute bilateral phlebothrombosis of internal iliac veins with floatation of thrombotic heads in the inferior vena cava and common iliac vein on the left. By means of a hybrid technique, we successfully performed operative intervention: thrombectomy from the inferior vena cava and common iliac veins on both sides with the use of proximal protection TREX (thromboextractor). Control X-ray contrast tomography and ultrasound examination of lower limb veins showed no evidence of rethrombosis. After surgical treatment, the woman received anticoagulant therapy. On POD 5, she was discharged home in a satisfactory condition.

KEY WORDS: floating thrombus, inferior vena cava thrombosis, iliofemoral thrombosis, pulmonary embolism, thromboextractor, TREX

Р. 47

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