Причины неэффективности эндоваскулярного лечения тазовых венозных заболеваний

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Рекомендуем статьи по данной теме:

Компьютерная и магнитно-резонансная венография в диагностике нетромботических обструкций подвздошных вен. Флебология. 2025;(3):146-155

Эмболизацию овариальных вен (ЭОВ) и стентирование подвздошных вен широко используют в лечении тазовых венозных заболеваний (ТВЗ). Вместе с тем клиническая эффективность (купирование симптомов заболевания) эндоваскулярного лечения ТВЗ варьирует в значительных пределах. В ряде случаев эндоваскулярные вмешательства не оказывают должного положительного эффекта, а иногда сопровождаются усугублением клинической симптоматики. В статье описано несколько клинических наблюдений, которые демонстрируют неудачи эндоваскулярных вмешательств, обусловленные ошибочным выбором тактики и метода лечения пациенток с ТВЗ. Представленные случаи демонстрируют ряд очевидных причин неэффективности эндоваскулярного лечения ТВЗ: необоснованное выполнение эмболизации тазовых вен, нарушение этапности выполнения эндоваскулярных вмешательств на подвздошных и тазовых венах, выполнение спиральной окклюзии овариальных вен с развитием протрузий спиралей. Представленные клинические примеры и данные литературы указывают на необходимость мультидисциплинарного подхода к обследованию и лечению пациенток с ТВЗ, рационального и дифференцированного использования эндоваскулярных лечебных методов у пациенток с сочетанием различных форм ТВЗ.

Ключевые слова:

варикозное расширение вен таза

тазовые венозные заболевания

тазовая венозная недостаточность

эмболизация овариальных вен

стентирование подвздошных вен

Авторы:

Гришенкова А.С.

Университетская хирургическая клиника им. В.С. Савельева ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России

ORCID: 0000-0003-1344-6530

Чубченко С.В.

ORCID: 0000-0002-1977-2030

Гаврилов С.Г.

SPIN РИНЦ: 7375-4712
Scopus AuthorID: 8312153800
ResearcherID: E-6089-2016
ORCID: 0000-0002-2307-2176

Дата поступления:

04.03.2025

Дата принятия в печать:

28.04.2025

Список литературы:

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