Varicose vein clinical course and effectiveness of treatment in patients with arteriosclerosis of lower limbs
| Autor: | Yu. O. Syniachenko, O.V. Syniachenko, G. E. Samoilenko |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Great saphenous vein Arteriosclerosis Venous blood medicine.disease Surgery Blood pressure Phlebothrombosis Varicose veins medicine General Earth and Planetary Sciences Femur medicine.symptom business Laser coagulation General Environmental Science |
| Zdroj: | Bukovinian Medical Herald. 21:136-140 |
| ISSN: | 2413-0737 1684-7903 |
| Popis: | The purpose and objectives of this work was to study the character and severity of varicose veins of the legs on the background of arteriosclerosis and evaluation of medical measures in these patients. The study included 302 patients (227 men and 75 women aged 29-72 years), 16 % of which had previous phlebothrombosis and the frequency of II, III, IV, V and VI venous insufficiency class was 10 %, 14 %, 37 % 16 % and 23 %. 263 patients underwent endovenous laser coagulation, and 39 – the traditional phlebectomy and ligation of perforating vein. Arteriosclerosis of femur, tibia, iliac and popliteal arteries is observed in 23 % of patients with varicose veins of legs, more common in men and people who have had phlebotrombosis, which was accompanied by higher blood pressure and venous insufficiency parameters, more frequent involvement of the great saphenous vein in the process, larger diameter and its preestuarine extension, with that the results of endovascular ablation after two, four and twenty-four weeks were worse, in spite of the prevalence of using rivaroxaban and heparins in this group, and the frequency of complications of medical measures were 2,7 times higher, while complete occlusion of the vessel a month after the operation – in 3,2 times less, that was determined by the levels of thromboxane-A2, surface viscosity, elasticity and tension of venous blood serum, the last indicator had predictive value in the presence of arteriosclerosis, a surfactant index – in case of its absence. |
| Databáze: | OpenAIRE |
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