Thrombectomy is a surgical procedure to remove a blood clot. During thrombectomy, an incision is made in the vessel at the site of the formation of the thrombus and it is removed with a special tool. Thrombectomy is the most effective and radical way to treat thrombosis.
Variants are also possible when a portion of the affected vessel is removed during thrombectomy. This method is outdated, but it is still used in severe cases of the disease.
The inferior vena cava plication is an operation to organize natural blood filtration from large thromboembolism. During plication, the lumen of the vessel with metal brackets is divided into several small channels. This does not slow down the blood flow but prevents blood clots from moving through the bloodstream.
Plication is an alternative to installing a cava filter when its integration into a vessel is not possible.
Ligation of the main veins is one of the oldest ways to prevent pulmonary embolism. Only the vein is bandaged above the site of the formation of the thrombus, the violation of the blood flow through which will not cause critical dysfunction of the venous outflow.
In terms of effectiveness, dressing is one of the best methods, but it is rarely used now because of many contraindications and the presence of less traumatic treatments for DVT.
Is thrombosis treated forever
The issue of full recovery after deep vein thrombosis should be considered in two planes. If you look at the treatment of the manifestations of the disease, then yes – the disease can be cured: remove the thrombus by surgery or medication.
But if you look more globally, then it is impossible to completely get rid of the likelihood of developing a disease. This is especially true for people who have congenital risk factors for the disease.
They can be corrected, suppress their effect on the circulatory system, reduce the likelihood of developing the disease, but you can not completely get rid of them. This does not mean that with congenital risk factors, a person’s life turns into a constant struggle. But he needs constant preventive measures that reduce the risk of developing the disease.
Prevention is important to everyone. Even the absence of congenital risk factors does not allow us to be sure that DVT will not affect a person. Indeed, with the acquired factors, some can be excluded, but some can not be controlled. They can occur regardless of behavior and lifestyle.
One thing is certain with certainty: an effective therapy for the problem exists, with timely diagnosis, the risk of developing irreparable consequences is minimal. But everyone should independently reduce the risk of the disease: due to the timely treatment of provoking pathologies, due to the rejection of bad habits, due to proper nutrition.
Such steps are much more important than clinical treatment, since they prevent the occurrence of the disease.
The main complication of deep vein thrombosis is post-thrombophlebitis. She is a direct consequence of the treatment of the disease. The mechanism of its development is the violations that occur in the bloodstream after the removal of blood clots. In its place appears connective tissue, which cannot work as the natural wall of the vessel.
This leads to an increase in pressure in the blood vessels, destruction of the valves and a general violation of the blood flow. Post-thrombophlebitis disease is a serious complication of DVT, which requires full-fledged drug therapy.
A doctor who monitors the patient’s rehabilitation after thrombosis can accurately determine the onset of the disease according to the patient’s complaints and a simple examination. Therefore, the completed treatment of deep vein thrombosis is the best prevention of its complications.
In the initial stages, complications are easier to stop, and their prevention gives good results.Deep vein thrombosis: symptoms and treatment
Rehabilitation after DVT
Rehabilitation of patients after deep vein thrombosis is needed to solve three problems:
prevention of re-development of the disease;
prevention of the development of post-thrombophlebitis disease;
compensation of venous outflow.
The main methods of the rehabilitation program:
regular motor activity;
time limit of static vertical stay of the body;
the use of compression hosiery.
Doctors emphasize that without a rehabilitation program it is impossible to talk about a complete victory over deep vein thrombosis.
Preventive measures to reduce the risk of deep vein thrombosis are measures to improve blood flow in the lower extremities and to reduce the likelihood of blood clots. For a person with a history of neither congenital nor acquired risk factors, DVT prophylaxis is:
regular physical activity;
lack of prolonged immobilization;
a sufficient amount of fluid in the diet;
wearing comfortable shoes;
lack of static loads on the legs.
This list is expanding as one of the risk factors a person has. One of the most effective methods of prevention is the use of compression stockings.
The squeezing such knitwear exerts helps maintain an adequate state of blood flow. As a result of full-fledged blood movement through deep veins, the tendency of blood to form blood clots decreases.
Such stockings are widespread in people with varicose veins and in those who have to fly a lot. At altitude, the air pressure is lower and the pressure created by the compression hosiery compensates for it.
Studies show that in-flight compression stockings eliminate the risk of developing DVT and reduce swelling. At the moment, this is the most effective prevention method for people with DVT risk factors.
We must not forget about a healthy lifestyle. Smoking, alcohol, malnutrition – all these factors contribute to the formation of blood clots. If excluded, the risk of thrombosis will decrease dramatically.