The new era in the treatment of deep vein occlusion

• Authors: Jan Jakub Kęsik , Piotr Terlecki , Marcin Feldo , Radosław Pietura , Tomasz Zubilewicz
• Languages of publication: EN

Abstracts

EN

A non-invasive, conservative treatment has been a standard in treating acute and chronic deep vein thrombosis. This treatment turned out to be ineffective, particularly in the hip area. Also, it was demonstrated that it does not influence the frequency of manifestations of post-thrombotic syndrome. Previous attempts to surgically reconstruct deep veins, unlike arteries reconstruction, yielded no positive results and also increased hemorrhagic and embolic complications. Currently, already in the period of the acute thrombosis of deep veins, the methods of early re-canalization, both with the application of targeted thrombolisis, as well as of pharmacomechanical methods, are applied. Thanks to a wide array of image examination methods applied in pre-operational and intra-operational diagnostics optimum, it is possible to plan a revascularising treatment in the sick individuals suffering from the already developed manifestations of the post-thrombotic syndrome. The development of endovascular methods, made possible thanks both to the surgeons’ experience in the re-canalization field, as well as constant improvements of stents dedicated to the venous system, allowed for effective use of these techniques in curing the occlusion of deep veins. It was the case with the arterial system and works here as well. Applying the hybrid proceeding, combining opened techniques and endovascular ones, works very well in selected cases.

Keywords

EN

post-thrombotic syndrome; DVT-deep venous thrombosis; venous stenting

• Publisher: De Gruyter Open
• Journal: Polish Journal of Public Health
• Year: 2015
• Volume: 125
• Issue: 1
• Pages: 36-38

Dates

published

1 - 3 - 2015

online

9 - 5 - 2015

Contributors

author

Jan Jakub Kęsik

• Department of Vascular Surgery and Angiology, Medical University of Lublin, Poland

author

Piotr Terlecki

• Department of Vascular Surgery and Angiology, Medical University of Lublin, Poland

author

Marcin Feldo

• Department of Vascular Surgery and Angiology, Medical University of Lublin, Poland

author

Radosław Pietura

• Department of Vascular Surgery and Angiology, Medical University of Lublin, Poland

author

Tomasz Zubilewicz

• Department of Vascular Surgery and Angiology, Medical University of Lublin, Poland

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Identifiers

DOI

10.1515/pjph-2015-0020