1. [PROCURING OF ІNTRAOPERATIVE HEMOSTASIS IN REVASCULARIZATION INTERVENTIONS].
- Author
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Venger IK, Kostiv SY, Kolotylo OB, Zarudna OI, and Kostiv OI
- Subjects
- Anticoagulants therapeutic use, Arteriosclerosis Obliterans blood, Arteriosclerosis Obliterans pathology, Factor Xa metabolism, Femoral Artery pathology, Hemostasis physiology, Humans, Lower Extremity blood supply, Lower Extremity pathology, Lower Extremity surgery, Postoperative Period, Prothrombin antagonists & inhibitors, Prothrombin metabolism, Thrombophilia blood, Thrombophilia pathology, Vascular Surgical Procedures instrumentation, Arteriosclerosis Obliterans surgery, Femoral Artery surgery, Heparin therapeutic use, Neovascularization, Physiologic, Thrombophilia prevention & control, Vascular Surgical Procedures methods
- Abstract
Results of the hemostasis conduction in conditions of revascularization in 106 patients, оperated on for atherosclerotic affection of aorta and the main arteries of the lower extremities, were adduced. Syndrome of hypercoagulation of traumatic stage of surgical intervention in early postoperative period is developing due to thrombinemia on background of a fibrinolytic system depression. There was proved a necessity to impact on thrombin-fibrinous factor (factor ІІа) of hemocoagulant cascade by application of nonfractionized heparins immediately after conclusion of operative intervention with thromboprophylaxis prolongation, using low-molecular heparins (impact on Ха factor) in accordance to the branch standards.
- Published
- 2017