Choice of fistulas optimal diameter while performance of thrombectomy from ileo-femoral venous segment

The results of investigation of arterio-venous fistula (AVF) hemodynamics, depending on its diameter, were adduced. There were operated 98 patients for deep veins thrombosis (DVTH) of ileo-femoral segment, in 82 (83.7%) of them the extraction of a flotation thrombus with femoral vein ligation was performed, in 16 (16.3%)--thrombectomy from the ileo-femoral segment veins, in 14 (14.3%)--the intervention was added by formation of AVF. While AVF formation a lateral branches of femoral vein of a necessary diameter were applied. In all the patients AVF have closed spontaneously in terms from 3 to 10 weeks. While the accelerated blood flow presence in 1 (7.1%) patients a rethrombosis have occurred. Pulmonary thrombosis in operated patients did not occurr. Application of active surgical tactics in treatment of DVTH of ileo-femoral segment securely prophylacts the pulmonary thromboembolism, application of thrombectomy together with AVF formation of optimal diameter guarantees the essential reduction of the rethrombosis and complications occurrence rate.