nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2018-7-1-53-56nmp-437Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS OF LITERATUREИМПЛАНТАЦИЯ КАВА-ФИЛЬТРОВ В ВЕРХНЮЮ ПОЛУЮ ВЕНУIMPLANTATION OF SUPERIOR VENA CAVA FILTERSПрозоровС. А.ProzorovS. A.

доктор медицинских наук, ведущий научный сотрудник отделения рентгенохи- рургических методов диагностики и лечения

Dr. Med. Sci., Leading Researcher of the Department of Roentgensurgery Methods of Diagnostics and Treatment

surgeonserge@mail.ruГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы», МоскваРоссияN.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health DepartmentRussian Federation201822042018715356Copyright © Прозоров С.А., 20182018Прозоров С.А.Prozorov S.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/437

Целью обзора явилось изучение результатов имплантации кава-фильтров в верхнюю полую вену (ВПВ) для предотвращения тромбоэмболии легочной артерии при тромбозе глубоких вен верхних конечностей (ТГВВК). Главными факторами риска развития являются: наличие центрального венозного катетера, злокачественной опухоли и сопутствующего тромбоза глубоких вен нижних конечностей. Установка кава-фильтра в ВПВ — безопасный и эффективный метод профилактики тромбоэмболии легочной артерии у пациентов с острым ТГВВК, которым антикоагулянтная терапия противопоказана или оказалась неэффективной.

 

 

 

 

Abstract The purpose of this review is to evaluate the results of superior vena cava filters placement in order to prevent pulmonary embolism associated with upper extremities deep vein thrombosis. The central venous catheter, malignancy and lower extremities deep venous thrombosis are main risk factors of upper extremities deep venous thrombosis. The placement of the superior vena cava filter is a safe and effective method for preventing pulmonary embolism in patients with acute upper extremities deep vein thrombosis where therapeutic anticoagulation is contraindicated or appeared to be ineffective.

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The authors declare that there are no conflicts of interest present.