Optimization of tactics of the acute varicotrombophlebitis
https://doi.org/10.20340/vmi-rvz.2020.4.12
Abstract
In this article the authors write about the main points of diagnostics and treatment of thrombophlebitis of the lower limbs surface veins, about the tactics of operative and conservative treatment in the hospital and at the outpatient stage in 38 patients. The proposed treatment method refers to the use of venotonics Venarus, oral fibrinolytic Thrombovazim and direct oral anticoagulants in combination with the basic treatment of this pathology. The proposed method is described in detail and the efficacy and safety of this treatment is analyzed in comparison with the standard therapy.
About the Authors
E. P. KrivoschekovRussian Federation
Samara
A. V. Poseryaev
Russian Federation
Ulyanovsk
E. B. Elshin
Russian Federation
Samara
V. E. Romanov
Russian Federation
Samara
A. V. Kazantsev
Russian Federation
Samara
References
1. Finazzi G., Ageno W. Direct oral anticoagulants in rare venous thrombosis // Intern. Emerg. Med. – 2016. – Vol. 11 (2). – P. 167–170.
2. Galanaud J, Genty C, Sevestre M et al. Predictive factors for concurrent deep-vein thrombosis and symptomaticиvenous thromboembolic recurrence in case of superficial venous thrombosis: The OPTIMEV study. // Thromb Haemost. – 2011 – Vol. 105 (1). – P. 31–39.
3. Hamdan A. Management of varicose veins andvenous insuiciency / A. Hamdan // JAMA. – 2012. – Vol. 308. – P. 26122621.
4. Jorgensen G. O. The incidence of deep venous thrombosis inpatients with su-pericial thrombophlebitis of thelower limbs // J. Vasc. Surg. –1993. – Vol. 18. – P. 7073.
5. Murgia A. P. Surgical management of ascending saphenous thrombophlebitis / A. P. Murgia [et al.] // Int. Angiol. –1999. – Vol. 18, N 4. – P. 34347.
6. Titon J. P. Therapeutic management of supericialvenouse thrombosis with calc-sum nadroparin / J. P. Titon, D. Auger // Ann. Cardiol. – 1994. – Vol. 32. – P. 397401.
7. Wichers I. M Treatment of supericial vein thrombosis to preventdeep vein thrombosis and pulmonary embolism:a systematic review // Haematologica. – 2005. – Vol. 90, N 5. – Р. 672677.
8. Buldyshkin V.V. Problemy varikotromboflebita nizhnih konechnostej // Tav-richeskij medikobiologicheskij vestnik. – 2012. – T. 15, № 2. – Ch. 3 (58). – S. 47–49.
9. El'shin E.B. Sovremennye podhody k lecheniyu gnojno-nekroticheskih porazhenij stop pri saharnom diabete // Aspirantskij vestnik Povolzh'ya. Hirurgiya. – 2014. – № 5–6. – S. 88–91.
10. Kalinin R.E., Narizhnyj M.V., Suchkov I.A. Emboloopasnost' ostrogo voskhodyashchego tromboflebita poverhnostnyh ven nizhnih konechnostej // Ros-sijskij mediko-biologicheskij vestnik im. akad. I.P. Pavlova. – 2011. – № 2. – S. 126–130.
11. Kirienko A.I., Matyushenko A.A., Andriyashkin V.V. Ostryj tromboflebit. – M.: Lit-terra, 2006. – 108 c.
12. Ostrye venoznye trombozy: diagnostika, lechenie i profilaktika: uchebnoe posobie / E.P. Krivoshchekov, E.A. Korymasov, N.A. Lysov, S.E. Katorkin. – M., 2020 – 242 s.
13. Puti uluchsheniya rekanalizacii ostrogo tromboza glubokih ven nizhnih konech-nostej / E.P. Krivoshchekov, S.E. Katorkin, E.B. El'shin, V.E. Romanov // Aktual'nye vo-prosy flebologii. 12-j Sankt-Peterburgskij venoznyj forum (Rozhdestvenskie vstrechi). – SPb., 2019. – S. 75–76.
14. Sovremennoe lechenie tromboza glubokih ven nizhnih konechnostej kompleksom pero-ral'nyh antikoagulyantov i fibrinolitikov / E.P. Krivoshchekov, E.B. El'shin, V.E. Romanov // Sovremennaya medicina. – 2019. – № 2 (14). – S. 113–115.
15. Sovremennoe lechenie troficheskih yazv venoznoj etiologii sochetaniem pero-ral'nogo fibrinolitika i bioplasticheskih materialov / E.P. Krivoshchekov, E.B. El'shin, V.E. Romanov, G.S Alyapyshev // Sovremennaya medicina. – 2019. – № 2 (14). – S. 109–112.
16. Obshchaya zabolevaemost' vzroslogo naseleniya Rossii v 2016 godu. Statis-ticheskie materialy. – M., 2016.
17. Pokrovskij A.B. Klinicheskaya angiologiya. Rukovodstvo dlya vrachej. – M.: Medici-na, 2004. – T. 2. – S. 788–809.
18. Pokrovskij A.V., Gradusov A.V., Bredihin R.A. Diagnostika i lechenie varikoz-noj bolezni. – M.: RMAPO, 2013. – 125 s.
19. Pustovojt A. A. Taktika lecheniya ostrogo voskhodyashchego tromboflebita / A. A. Pu-stovojt, S. G. Gavrilov, I. A. Zolotuhin // Flebologiya. – 2011. – № 3. – S. 46–52.
20. Romanov V.E., Madonov P.G., Ershov K.I., Shilova M.A. Farmakologicheskie svojstva i klinicheskoe primenenie trombovazima // Flebologiya. – 2014. – T. 8. – № 2. – S. 90–91.
21. Rossijskie klinicheskie rekomendacii po diagnostike, lecheniyu i profilaktike ve-noznyh tromboembolicheskih oslozhnenij (VTEO) // Flebologiya. – 2015. – T. 9. – № 4. – S. 157.
22. Savel'ev V.S., Gologorskij V.A., Kirienko A.I. i dr. Flebologiya. Rukovodstvo dlya vrachej / pod red. V.S. Savel'eva. – M.: Medicina, 2001. – 664 c.
23. Savel'ev V.S., Kirieko A.I., Zolotuhin I.A., Andriyashkin A.I. Profilaktika po-sleoperacionnyh venoznyh tromboembolicheskih oslozhnenij v rossijskih staciona-rah (predvaritel'nye rezul'taty proekta «Territoriya bezopasnosti») // Flebolo-giya. – 2010. – № 3. – S. 3–8.
24. Savel'ev V.S., Kirienko A.I. Klinicheskaya hirurgiya: nacional'noe rukovod-stvo: v 3 t. – M.: GEOTAR-Media, 2010. – T. 3. – 1008 s.
25. Shatalov A.V. Gemodinamicheskij mekhanizm razvitiya ostrogo varikotrom-boflebita goleni v bassejnebol'shoj podkozhnoj veny // Flebologiya. – 2010. – № 3. – S. 34–38.
26. Shval'b P.G., Biryukov S.A., Suchkov I.A., Kalinin R.E. Specializirovannaya profi-laktika tromboembolii legochnoj arterii. – Ryazan': Uzoroch'e, 2010. – 118 s.
27. Shevchenko Yu.L., Stojko Yu.M. Osnovy klinicheskoj flebologii. – M.: Shiko, 2013. – 336 s.
Review
For citations:
Krivoschekov E.P., Poseryaev A.V., Elshin E.B., Romanov V.E., Kazantsev A.V. Optimization of tactics of the acute varicotrombophlebitis. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2020;(4):105-113. (In Russ.) https://doi.org/10.20340/vmi-rvz.2020.4.12