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Surgical Thrombectomy for Treatment of Acute Iliofemoral Venous Thrombosis 手术取栓治疗急性髂股静脉血栓
Pub Date : 2020-02-27 DOI: 10.18411/scienceconf-05-2020-05
I. Ignatyev, V. V. Evseeva, E. Gradusov
Objective : To assess the effectiveness of open surgical thrombectomy in acute iliofemoral venous thrombosis. Methods: Between January 2012 and October 2018, a total of 65 patients underwent transfemoral venous thrombectomy (VT) in acute iliofemoral venous thrombosis. Ten patients received a venous hybrid operation comprising balloon- catheter thrombectomy and stenting of residual stenosis of iliac vein. The control group consisted of 44 patients who received standard anticoagulant therapy. The results were evaluated by duplex ultrasound (DUS). The assessment of clinical effectiveness was made with Venous Clinical Severity Score (VCSS), Villalta Score and health-related quality of life (HRQoL). Results: Secondary patency of iliofemoral segment at 6 months of monitoring after thrombectomy was reported in 97% of cases. Meanwhile, the recanalization of iliofemoral segment was registered only in 27% ( P < .0001) of patients who had anticoagulant therapy alone . The median preoperative VCSS was 7, which dropped to 2 at 6 months ( P =.002). There were five cases of successful re-thrombectomy and stenting (three cases). Сumulative primary and secondary patency rates of iliofemoral veins at 72 months were 88% and 95%, respectively. The data Villalta score in long-term follow-up in patients after surgery was significantly lower than of patients treated with anticoagulation ( P < .001). HRQoL of patients after 6 years of VT was improved, its mean score decreased from 45.3 (8.6) to 23.6 (6.1; P < .001). Conclusion: According to selective indications open surgical thrombectomy in iliofemoral venous thrombosis with using current methods of deep vein restoration patency increases the effectiveness of treatment of this severe pathology and prevents from progression of postthrombotic syndrome.
目的:探讨开放性手术取栓治疗急性髂股静脉血栓的疗效。方法:2012年1月至2018年10月,共65例急性髂股静脉血栓患者行经股静脉取栓术。10例患者行球囊导管取栓及髂静脉残余狭窄支架术。对照组为44例接受标准抗凝治疗的患者。采用双工超声(DUS)对结果进行评价。采用静脉临床严重程度评分(VCSS)、Villalta评分和健康相关生活质量(HRQoL)评价临床疗效。结果:97%的患者在取栓后监测6个月出现髂股段继发通畅。同时,单独抗凝治疗的患者中,髂股段再通率仅为27% (P < 0.0001)。术前VCSS中位数为7,6个月时降至2 (P = 0.002)。再次取栓及支架置入术成功5例(3例)。Сumulative术后72个月髂股静脉一期和二期通畅率分别为88%和95%。术后患者长期随访Villalta评分明显低于抗凝治疗患者(P < 0.001)。VT 6年后患者HRQoL得到改善,平均评分由45.3分(8.6分)降至23.6分(6.1分);P < 0.001)。结论:根据选择的适应症,采用现有的深静脉恢复开放的方法,对髂股静脉血栓进行开放性手术取栓,提高了治疗这一严重病理的有效性,防止了血栓后综合征的发展。
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引用次数: 1
What is Man? 人是什么?
Pub Date : 2020-01-01 DOI: 10.18411/spc-01-07-2020-04
S. Vlasova, E. Zaharova, E. E. Ulyashkina
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引用次数: 0
Christmas tree: semantic and linguocultural description 圣诞树:语义和语言描述
Pub Date : 2020-01-01 DOI: 10.18411/scienceconf-05-2020-20
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引用次数: 0
Akhmatov's theme in the prose of N.N. Kharlampyeva 哈兰普耶娃散文中阿赫玛托夫的主题
Pub Date : 2020-01-01 DOI: 10.18411/tifsvfu-2020-c2-157-86
E. M. Dorofeeva, L. I. Rumyanceva
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引用次数: 0
Project Budgeting 项目预算
Pub Date : 2020-01-01 DOI: 10.18411/sr-10-04-2020-13
N. Noskova
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引用次数: 0
QER filter
Pub Date : 2020-01-01 DOI: 10.18411/sciencepublic-12-05-2020-16
E. A. Batalova, D. E. Gubarev, A. N. Zikij
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引用次数: 0
As long as we remember - we live 只要我们记得——我们就活着
Pub Date : 2020-01-01 DOI: 10.18411/spc-01-05-2020-07
E. Rykov
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引用次数: 0
Energy security issues 能源安全问题
Pub Date : 2020-01-01 DOI: 10.18411/sciencepublic-12-06-2020-10
N. G. Rusinova, T. V. Shchennikova
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引用次数: 0
Sports injuries 运动损伤
Pub Date : 2020-01-01 DOI: 10.18411/sciencepublic-04-06-2020-11
V. V. Korotchenko
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引用次数: 0
Benefits and risks of digital diplomacy 数字外交的利益与风险
Pub Date : 2020-01-01 DOI: 10.18411/sr-10-06-2020-32
D. A. Sermyagina
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引用次数: 0
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