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VASCULAR THROBOSIS PREVENTION IN ARTERY SURGERY P. Niedziela J. Michalak W. Kobusiewicz,P. Niedziela J. Michalak W. Kobusiewicz, Department of Vascular.

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Presentation on theme: "VASCULAR THROBOSIS PREVENTION IN ARTERY SURGERY P. Niedziela J. Michalak W. Kobusiewicz,P. Niedziela J. Michalak W. Kobusiewicz, Department of Vascular."— Presentation transcript:

1 VASCULAR THROBOSIS PREVENTION IN ARTERY SURGERY P. Niedziela J. Michalak W. Kobusiewicz,P. Niedziela J. Michalak W. Kobusiewicz, Department of Vascular Surgery Medical Academy, Lublin, Poland PRAGUE 2002

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3 thrombosis in case obesity age above 40 malignant cancers hormonal drug varicose veins

4 < 1 hours 57 % 1 – 3 hours 35 % > 3 hours 8 %

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6 methods physicalpharmacological

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8 Standard heparin Standard heparin LMWH LMWH Dextran Dextran Oral anticoagulants Oral anticoagulants Acetylsalicylic acid Acetylsalicylic acid

9 low risk low risk medium risk medium risk high risk high risk

10 age up 40 have undergone operative treatments without clinical risk factors

11 more than 40 years old major arterial treatments without clinical risk factors

12 above 40 years old vast reconstructive operations with additional risk factors

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14 Prophylaxis of deep vein thrombosis standard heparin standard heparin low molecular weight heparin low molecular weight heparin

15 Fraxiparin0,01ml/kg Clexane 1 mg/ kg Clivarin 1432 85jm/kg

16 fewer complications fewer complications lower cost of treatment lower cost of treatment convenient way of administration convenient way of administration

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