[Endovascular treatment of deep vein thrombosis of the upper extremities].

Q4 Medicine
B S Sukovatykh, A V Sereditsky, V F Muradyan, M B Sukovatykh, N V Bolomatov, M Y Gordov
{"title":"[Endovascular treatment of deep vein thrombosis of the upper extremities].","authors":"B S Sukovatykh, A V Sereditsky, V F Muradyan, M B Sukovatykh, N V Bolomatov, M Y Gordov","doi":"10.17116/hirurgia202402145","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To improve the results of treatment of deep vein thrombosis of the upper extremities sing endovascular technologies.</p><p><strong>Material and methods: </strong>We analyzed safety and effectiveness of treatment in 24 patients with deep vein thrombosis of the upper extremities. All ones were divided into 2 homogeneous groups by 12 people each. In the first group, conventional anticoagulation was performed. In the second group, we used additional regional catheter thrombolysis with alteplase and, if necessary, venous stenting or balloon angioplasty for residual stenosis. Patients received apixaban at baseline and throughout 6 postoperative months. After 12 months, we performed ultrasound and clinical examination to identify deep vein patency and venous outflow disorders. Vein recanalization was evaluated as follows: <50% - minimal, 50-99% - partial, 100% - complete. The quality of life of patients was studied using the SF-36 questionnaire.</p><p><strong>Results: </strong>In the first group, we observed complete vein recanalization in 25% of cases, partial - in 33%, minimal - in 41% of cases; in the second group - 83.3% and 16.7% of patients, respectively. In the first group, clinical manifestations of venous outflow disorders were absent in 25% of patients, mild disorders - 25%, moderate - 8.3%, severe - 41.7% of patients. In the second group, venous outflow was not impaired in 83.7% of patients, mild violations occurred in 16.7% of patients. In the first group, physical health was equal to 44.2±1.7 scores, psychological health - 49.3±2.3 scores; in the second group - 69.3±5.7 and 71.3±5.4 scores, respectively.</p><p><strong>Conclusion: </strong>Endovascular treatment improved postoperative outcomes.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 2","pages":"45-51"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Khirurgiya","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/hirurgia202402145","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: To improve the results of treatment of deep vein thrombosis of the upper extremities sing endovascular technologies.

Material and methods: We analyzed safety and effectiveness of treatment in 24 patients with deep vein thrombosis of the upper extremities. All ones were divided into 2 homogeneous groups by 12 people each. In the first group, conventional anticoagulation was performed. In the second group, we used additional regional catheter thrombolysis with alteplase and, if necessary, venous stenting or balloon angioplasty for residual stenosis. Patients received apixaban at baseline and throughout 6 postoperative months. After 12 months, we performed ultrasound and clinical examination to identify deep vein patency and venous outflow disorders. Vein recanalization was evaluated as follows: <50% - minimal, 50-99% - partial, 100% - complete. The quality of life of patients was studied using the SF-36 questionnaire.

Results: In the first group, we observed complete vein recanalization in 25% of cases, partial - in 33%, minimal - in 41% of cases; in the second group - 83.3% and 16.7% of patients, respectively. In the first group, clinical manifestations of venous outflow disorders were absent in 25% of patients, mild disorders - 25%, moderate - 8.3%, severe - 41.7% of patients. In the second group, venous outflow was not impaired in 83.7% of patients, mild violations occurred in 16.7% of patients. In the first group, physical health was equal to 44.2±1.7 scores, psychological health - 49.3±2.3 scores; in the second group - 69.3±5.7 and 71.3±5.4 scores, respectively.

Conclusion: Endovascular treatment improved postoperative outcomes.

[上肢深静脉血栓的血管内治疗]。
目的提高上肢深静脉血栓形成的治疗效果:我们对 24 名上肢深静脉血栓患者的治疗安全性和有效性进行了分析。所有患者分为两组,每组 12 人。第一组进行常规抗凝治疗。在第二组中,我们使用阿替普酶进行额外的区域导管溶栓治疗,如有必要,还对残余狭窄进行静脉支架或球囊血管成形术。患者在基线和术后 6 个月内接受阿哌沙班治疗。12 个月后,我们通过超声波和临床检查确定深静脉通畅情况和静脉流出障碍。静脉再通畅情况评估如下:结果在第一组患者中,我们观察到25%的患者静脉完全再通,33%的患者部分再通,41%的患者极少再通;在第二组患者中,分别观察到83.3%和16.7%的患者静脉再通。在第一组患者中,25%的患者没有静脉流出障碍的临床表现,25%的患者有轻度静脉流出障碍,8.3%的患者有中度静脉流出障碍,41.7%的患者有重度静脉流出障碍。在第二组中,83.7%的患者静脉外流未受损,16.7%的患者出现轻度障碍。第一组患者的身体健康评分为(44.2±1.7)分,心理健康评分为(49.3±2.3)分;第二组患者的身体健康评分为(69.3±5.7)分,心理健康评分为(71.3±5.4)分:结论:血管内治疗改善了术后效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Khirurgiya
Khirurgiya Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
161
期刊介绍: Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信