emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университетemcardio-184Research ArticleОбзоры и лекцииReviews and lecturesСтратегия оценки рисков и профилактики тромбоэмболических осложнений у пациентов нейрохирургического профиляRisk assessment and venous thromboembolism prophylaxis strategy in neurosurgical patientsГавриленкоЛ. Н.GavrilenkoL. N.РомановаИ. С.RomanovaI. S.КожановаИ. Н.KozhanovaI. N.СадовскаяО. Г.SadovskayaO. G.БарановскийА. Е.BaranovskyA. E.Белорусский государственный медицинский университетBelarusian State Medical University4-я городская клиническая больница им. Н.Е.Савченко4th City Clinical Hospital named after N.E.Savchenko5-я городская клиническая больница5th City Clinical Hospital20203010202541909–916Copyright © Гавриленко Л.Н., Романова И.С., Кожанова И.Н., Садовская О.Г., Барановский А.Е., 20252025Гавриленко Л.Н., Романова И.С., Кожанова И.Н., Садовская О.Г., Барановский А.Е.Gavrilenko L.N., Romanova I.S., Kozhanova I.N., Sadovskaya O.G., Baranovsky A.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://emcardio.bsmu.by/jour/article/view/184

Смертность от венозных тромбоэмболических осложнений (ВТЭО) составляет около 25000 смертей в год в Великобритании. В США около трети из 150-200 тыс. смертей, ассоциированных с тромбоэмболиями, происходит после операции. Риск ВТЭО у пациентов нейрохирургического профиля широко варьирует в зависимости от вида хирургического вмешательства, состояния пациента, наличия сопутствующей патологии, использования различных методов тромбопрофилактики. Особенности пациентов нейрохирургического профиля (высокая частота гиповолемии и гемоконцентрации, распространенность параличей и парезов, использование высоких доз глюкокортикоидов, большая длительность оперативных вмешательств), высокий риск кровотечений при использовании фармакологических методов профилактики, а также отсутствие достаточного количества исследований высокого качества требуют выработки единого подхода к тромбопрофилактике в нейрохирургии. В данной статье представлена стратегия профилактики ВТЭО у пациентов нейрохирургического профиля, разработанная авторами на основании актуальных международных рекомендаций.

Venous thromboembolism (VTE) causes 25,000 in-hospital deaths every year in the United Kingdom. Approximately one-third of the total of 150,000 to 200,000 of VTE-related deaths per year in the United States occur following surgery. The VTE risk varies widely in neurosurgical patients depending on the type of intervention, the patient’s condition, comorbidity, and methods of thromboprophylaxis used. Neurosurgical patients’ characteristics (high prevalence of hypovolemia and hemoconcentration, paralysis and paresis, the use of high doses of glucocorticoids, the long duration of surgical interventions), high bleeding risk associated with pharmacological prophylaxis, and relatively few high-quality studies require development of a uniform decision-making approach regarding thromboprophylaxis in neurosurgery. This article presents a VTE prophylaxis strategy in neurosurgical patients developed on the basis of the latest international guidelines.

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The authors declare that there are no conflicts of interest present.