Complex radiodiagnosis and surgical treatment of the patients with thrombosis of inferior vena cava system

Abstract

Despite of much effort , taken to improve diagnosis technologies, examination and development of the tactics for treatment of patients with acute inferior vena cava (IVC) thrombosis remain to be insufficiently understood. In period from 2003 there were examined and treated 572 patients with thrombosis of the IVC system. Thrombectomy was conducted in 62 (39.7%) cases, only clipping or placation with out thrombectomy was made in 94(60.3%) of cases. After operation all patients showed regress of lower extremity deep vein thrombosis (LEDVT) clinical symptoms. In the postoperative period there were no thromboembolia of the pulmonary artery (PATE) events. All patients were discharged from hospital in satisfactory condition. On the basis of this clinical material we may suggest that choice of the technique of PATE surgical prophylaxis depends on the character and spreading of thrombus, functional1anatomic peculiarities of the IVC system.