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Management of Superficial Vein Thrombosis in Patients with Varicose Veins: A Survey among Members of National Surgical Society from Republic of Moldova

Vascular Specialist International 2020년 36권 2호 p.105 ~ 111
Bzovii Florin, Casian Dumitru, Culiuc Vasile, Gutu Evghenii,
소속 상세정보
 ( Bzovii Florin ) - State University of Medicine and Pharmacy Nicolae Testemitanu Department of General Surgery
 ( Casian Dumitru ) - State University of Medicine and Pharmacy Nicolae Testemitanu Department of General Surgery
 ( Culiuc Vasile ) - State University of Medicine and Pharmacy Nicolae Testemitanu Department of General Surgery
 ( Gutu Evghenii ) - State University of Medicine and Pharmacy Nicolae Testemitanu Department of General Surgery

Abstract


Purpose: Management of superficial vein thrombosis (SVT) in patients with varicose veins (VV) is not currently standardized. We performed a survey aimed to demonstrate patterns in the management of SVT in the Republic of Moldova.

Materials and Methods: This was a descriptive study whereby members of the National Surgical Society were asked to complete an online questionnaire. In the questionnaire, multiple-choice questions were supplemented with four clinical vignettes of real patients with SVT.

Results: The questionnaire was completed by 102 participants (31.1% response rate). In the treatment of SVT, duplex ultrasound was routinely used by 74.5% of respondents, and anticoagulants were used by 70.5%. The full therapeutic dose of anticoagulants was recommended by 63.3% of surgeons, intermediate dose by 21.1%, and prophylactic dose by 15.6%. Only 50% of respondents were prescribed anticoagulants for 1 month or more. In case of surgical intervention for SVT, crossectomy and stripping were performed by 84.0% of surgeons, while isolated crossectomy by 10.7%. In all clinical vignettes, the majority of respondents opted for urgent surgical treatment. The rate of proponents of surgery varied from 43% in cases of isolated thrombosis of tributaries, and up to 72.5% in cases of thrombosis up to the sapheno-femoral junction.

Conclusion: Management of patients with SVT and VV in the Republic of Moldova is far from standardized. Prescribed doses of anticoagulants, as well as the duration of anticoagulation are highly variable and often contradict the recommendations of current guidelines. Urgent crossectomy and stripping dominate the pattern of current therapeutic approaches.

키워드

Superficial vein thrombosis; Varicose veins; Anticoagulation; Surgery; Moldova

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