Современные эндоваскулярные методики терапии венозных тромбозов и тромбоэмболий

Масленников М.А., Синкевич Н.С., Савченко А.П. Современные эндоваскулярные методики терапии венозных тромбозов и тромбоэмболий. Consilium Medicum. 2015; 17 (5): 44–48.

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Maslennikov M.A., Sinkevich N.S., Savchenko A.P. Modern endovascular techniques using for venous thrombosis and thromboembolism treatment. Consilium Medicum. 2015; 17 (5): 44–48.

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Аннотация

Венозные тромбозы и тромбоэмболии – часто встречающиеся тяжелые состояния, сопряженные с высокой степенью осложнений и летальности. В настоящее время развиваются и внедряются в практику эндоваскулярные методы лечения венозных тромбоэмболических осложнений (ВТЭО) – эффективная и безопасная альтернатива стандартной терапии. Существует необходимость развития активных подходов к терапии ВТЭО в нашей стране, что позволит улучшить прогноз пациентов с тяжелой массивной тромбоэмболией легочной артерии и тромбозом глубоких вен.

Ключевые слова: тромбоэмболия легочной артерии, тромбоз глубоких вен, селективный тромболизис, фармакомеханическая тромбэктомия.

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Venous thromboembolism is a common serious condition associated with high morbidity and mortality. Currently developing endovascular treatment approaches are effective and safe alternative to the standard conservative therapy. There is a great need to develop the early thrombus removal endovascular methods in our country, which would improve the prognosis and reduce mortality in patients with severe massive pulmonary embolism and deep vein thrombosis.

Key words: pulmonary embolism, deep vein thrombosis, catheter-directed thrombolysis, pharmacomechanical trombectomy.

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Список литературы

1. Российские клинические рекомендации по диагностике и лечению венозных тромбоэмболических осложнений. Флебология. 2010; 1 (4). / Rossiiskie klinicheskie rekomendatsii po diagnostike i lecheniiu venoznykh tromboembolicheskikh oslozhnenii. Flebologiia. 2010; 1 (4). [in Russian]
2. Heit JA. The epidemiology of venous thromboembolism in the community. Arterioscler Thromb Vasc Biol 2008; 28 (3): 370–2.
3. 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J 2014; 35: 3033–80.
4. Cohen AT, Tapson VF, Bergmann JF et al. Venous thromboembolism risk and prophylaxis in the acute hospital care setting (ENDORSE study): a multinational cross-sectional study. Lancet 2008; 371 (9610): 387–94.
5. Sharifi M, Mehdipour M, Bay C et al. Endovenous therapy for deep venous thrombosis: the TORPEDO trial. Catheter Cardiovasc Interv 2010; 76 (3): 316–25.
6. Kucher N, Goldhaber SZ. Risk stratification of acute pulmonary embolism. Semin Thromb Hemost 2006; 32 (8): 838–47.
7. Samoukovic G, Malas T, DeVarennes B. The role of pulmonary embolectomy in the treatment of acute pulmonary embolism: a literature review from 1968 to 2008. Interact Cardiovasc Thorac Surg 2010; 11 (3): 265–70.
8. Engelberger RP, Kucher N. Catheter-Based Reperfusion Treatment of Pulmonary Embolism Circulation 2011; 124: 2139–44.
9. Engelberger RP, Kucher N. Ultrasound-assisted thrombolysis for acute pulmonary embolism: a systematic review. Eur Heart J 2014; 35 (12): 758–64.
10. Enden T, Haig Y, Kløw NE et al. Long-term outcome after additional catheter-directed thrombolysis versus standard treatment for acute iliofemoral deep vein thrombosis (the CaVenT study): a randomised controlled trial. Lancet 2012; 379 (9810): 31–8.
11. Sharifi M, Bay C, Mehdipour M et al. Thrombus Obliteration by Rapid Percutaneous Endovenous Intervention in Deep Venous Occlusion (TORPEDO) trial: midterm results. J Endovasc Ther 2012; 19 (2): 273–80.
12. Mewissen MW, Seabrook GR, Meissner MH et al. Catheter-directed thrombolysis for lower extremity deep venous thrombosis: report of a national multicenter registry. Radiology 1999; 213 (3): 930.
13. Meissner MH, Gloviczki P, Comerota AJ et al. Early thrombus removal strategies for acute deep venous thrombosis: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2012; 55 (5): 1449–62.
14. Stein PD, Henry JW. Clinical characteristics of patients with acute pulmonary embolism stratified according to their presenting syndromes. Chest 1997; 112 (4): 974–9.

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1. Rossiiskie klinicheskie rekomendatsii po diagnostike i lecheniiu venoznykh tromboembolicheskikh oslozhnenii. Flebologiia. 2010; 1 (4). [in Russian]
2. Heit JA. The epidemiology of venous thromboembolism in the community. Arterioscler Thromb Vasc Biol 2008; 28 (3): 370–2.
3. 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J 2014; 35: 3033–80.
4. Cohen AT, Tapson VF, Bergmann JF et al. Venous thromboembolism risk and prophylaxis in the acute hospital care setting (ENDORSE study): a multinational cross-sectional study. Lancet 2008; 371 (9610): 387–94.
5. Sharifi M, Mehdipour M, Bay C et al. Endovenous therapy for deep venous thrombosis: the TORPEDO trial. Catheter Cardiovasc Interv 2010; 76 (3): 316–25.
6. Kucher N, Goldhaber SZ. Risk stratification of acute pulmonary embolism. Semin Thromb Hemost 2006; 32 (8): 838–47.
7. Samoukovic G, Malas T, DeVarennes B. The role of pulmonary embolectomy in the treatment of acute pulmonary embolism: a literature review from 1968 to 2008. Interact Cardiovasc Thorac Surg 2010; 11 (3): 265–70.
8. Engelberger RP, Kucher N. Catheter-Based Reperfusion Treatment of Pulmonary Embolism Circulation 2011; 124: 2139–44.
9. Engelberger RP, Kucher N. Ultrasound-assisted thrombolysis for acute pulmonary embolism: a systematic review. Eur Heart J 2014; 35 (12): 758–64.
10. Enden T, Haig Y, Kløw NE et al. Long-term outcome after additional catheter-directed thrombolysis versus standard treatment for acute iliofemoral deep vein thrombosis (the CaVenT study): a randomised controlled trial. Lancet 2012; 379 (9810): 31–8.
11. Sharifi M, Bay C, Mehdipour M et al. Thrombus Obliteration by Rapid Percutaneous Endovenous Intervention in Deep Venous Occlusion (TORPEDO) trial: midterm results. J Endovasc Ther 2012; 19 (2): 273–80.
12. Mewissen MW, Seabrook GR, Meissner MH et al. Catheter-directed thrombolysis for lower extremity deep venous thrombosis: report of a national multicenter registry. Radiology 1999; 213 (3): 930.
13. Meissner MH, Gloviczki P, Comerota AJ et al. Early thrombus removal strategies for acute deep venous thrombosis: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2012; 55 (5): 1449–62.
14. Stein PD, Henry JW. Clinical characteristics of patients with acute pulmonary embolism stratified according to their presenting syndromes. Chest 1997; 112 (4): 974–9.

Авторы

М.А.Масленников*1, Н.С.Синкевич2, А.П.Савченко3

1 ГБУЗ Городская клиническая больница №1 им. Н.И.Пирогова Департамента здравоохранения г. Москвы. 119049, Россия, Москва, Ленинский пр-т, д. 10, корп. 5;
2 ФГБУ Российский кардиологический научно-производственный комплекс Минздрава России. 121552, Россия, Москва, ул. 3-я Черепковская, д. 15а;
3 ГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России. 123995, Россия, Москва, ул. Баррикадная, д. 2/1
cardiologyru@gmail.com

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M.A.Maslennikov*1, N.S.Sinkevich2, A.P.Savchenko3

1 N.I.Pirogov City clinical hospital №1 of the Department of Health of Moscow. 119049, Russian Federation, Moscow, Leninskii pr-t, d. 10, korp. 5;
2 Russian Cardiological Scientific-Industrial Complex of the Ministry of Health of the Russian Federation. 121552, Russian Federation, Moscow, ul. 3-ia Cherepkovskaia, d. 15a;
3 Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation. 123995, Russian Federation, Moscow, ul. Barrikadnaia, d. 2/1
*cardiologyru@gmail.com

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