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Khirurgii

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Year 2023 Vol. 31 No 1

SCIENTIFIC PUBLICATIONS

S.G. GAVRILOV, I.S. LEBEDEV, A.V. VASILIEV, N.YU. MISHAKINA

RATIONALE OF VENOUS OBSTRUCTION STENTING

Savelyev University Surgical Clinic, Pirogov Russian National Research Medical University, Moscow,
Russian Federation

Objective. The aim of this study is to substantiate the expediency of using stenting in patients with chronic venous obstruction, based on literature data and real clinical practice.
Methods. A systematic search of current literature on the application of various stents in the treatment of chronic thrombotic and non-thrombotic obstruction of the iliac veins was conducted by browsing the Pubmed, MEDLINE è Google Scholar.
In addition to clinical efficacy, economic aspects of the application of venous stenting in the treatment of chronic venous obstruction have been studied. Clinical observations are presented demonstrating the possibilities of iliac vein stenting in patients with post-thrombotic disease, a combination of May-Turner syndromes and pelvic congestion syndrome.
Results. Currently, both classical and special venous stents are used for stenting of large veins. The latter have greater flexibility and radial strength, and their use is not accompanied by such complications as stent occlusion of the contralateral common iliac vein and conical narrowing of the ends of the stent. The literature data indicate the high efficiency of stenting in restoration of the iliac vein lumen in thrombotic and non-thrombotic obstructions of the iliac veins, and stent patency ranges from 79 to 100% within 1-3 years. The authors report on the relief of edematous and pain syndromes, and healing of trophic ulcers in 70-100% of patients. Studies comparing the cost of venous stenting and standard conservative treatment indicate that the use of endovascular intervention is accompanied by a significant reduction in the economic costs of the treatment, a reduction of expenditures of a medical institution, and a decrease in the period of temporary disability among patients. Clinical observations presented in the study are based on the real clinical practice of the authors of this work and confirm the literature data.
Conclusion. The application of venous stenting is an effective and safe method of restoring the patency of the main veins, which can relieve the clinical manifestations of chronic venous insufficiency and pelvic venous congestion syndrome. This method is also accompanied by a decrease in economic costs in the treatment of patients with chronic venous obstructions.

Keywords: chronic venous obstruction, venous stenting, post-thrombotic disease, May-Turner syndrome, economic feasibility
p. 26-38 of the original issue
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Address for correspondence:
119049, Russian Federation,
Moscow, Leninsky prospect, 10, 5,
tel. 8 916 929 99 47,
e-mail: gavriloffsg@mail.ru,
Sergey G. Gavrilov
Information about the authors:
Gavrilov Sergey G., MD, Professor, Savelyev University Surgical Clinic, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
http://orcid.org/0000-0002-2307-2176
Lebedev Igor S., MD, Savelyev University Surgical Clinic, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0001-7956-3807
Vasiliev Alexey V., Internetional Surgeon, Savelyev University Surgical Clinic, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
Mishakina Nadezhda Y., Ultrasound Diagnostics Doctor, Savelyev University Surgical Clinic, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0002-3626-0299
Contacts | ©Vitebsk State Medical University, 2007-2023