neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2020-22-4-112-122neurosurgery-969Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWТромбоэмболические осложнения в нейрохирургии: решения на границе возможного и необходимого (обзор литературы)Thromboembolic complications in neurosurgery: solutions at the boundaries of possible and necessary (review)https://orcid.org/0000-0001-9034-2212БервицкийА. В.BervitskiyA. V.

Анатолий Владимирович Бервицкий

630087 Новосибирск, ул. Пемировича-Данченка, 132/1; 630060 Новосибирск, ул. Тимакова, 2; 630090 Новосибирск, просп. Лаврентьева, 15

132/ 1 Nemirovicha-Danchenko St., Novosibirsk 630087; 2 Timakova St., Novosibirsk 630060; 15 Lavrentieva Ave., Novosibirsk 630090

a_bervitskiy@neuronsk.ruГужинВ. Э.GuzhinV. E.

630087 Новосибирск, ул. Пемировича-Данченка, 132/1

132/ 1 Nemirovicha-Danchenko St., Novosibirsk 630087

https://orcid.org/0000-0002-3885-3004МойсакГ. И.MoisakG. I.

630087 Новосибирск, ул. Пемировича-Данченка, 132/1; 630090 Новосибирск, ул. Пирогова, 1

132/ 1 Nemirovicha-Danchenko St., Novosibirsk 630087; 1 Pirogova St., Novosibirsk 630090

БабченкоВ. Я.BabchenkoV. Ya.

630090 Новосибирск, ул. Пирогова, 1

1 Pirogova St., Novosibirsk 630090

https://orcid.org/0000-0002-1209-8960РзаевД. А.RzaevD. A.

630087 Новосибирск, ул. Пемировича-Данченка, 132/1; 630090 Новосибирск, ул. Пирогова, 1

132/ 1 Nemirovicha-Danchenko St., Novosibirsk 630087; 1 Pirogova St., Novosibirsk 630090

ФГБУ Федеральный центр нейрохирургии Минздрава России (Новосибирск); Научно-исследовательский институт клинической и экспериментальной лимфологии — филиал ФГБНУ Институт цитологии и генетики Сибирского отделения, Российская академия наук; ФГБУН Институт гидродинамики им. М.А. Лаврентьева, Сибирское отделение Российской академии наукРоссияFederal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia; Research Institute of Clinical and Experimental Lymphology — branch of the Institute of Cytology and Genetics, Siberian branch of Russian Academy of Sciences; Lavrentyev Institute of Hydrodynamics, Siberian Branch of the Russian Academy of SciencesRussian FederationФГБУ Федеральный центр нейрохирургии Минздрава России (Новосибирск)РоссияFederal Neurosurgical Center (Novosibirsk), Ministry of Health of RussiaRussian FederationФГБУ Федеральный центр нейрохирургии Минздрава России (Новосибирск); ФГАОУ ВО Новосибирский национальный исследовательский государственный университетРоссияFederal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia; Novosibirsk State UniversityRussian FederationФГАОУ ВО Новосибирский национальный исследовательский государственный университетРоссияNovosibirsk State UniversityRussian Federation202017012021224112122Copyright © Бервицкий А.В., Гужин В.Э., Мойсак Г.И., Бабченко В.Я., Рзаев Д.А., 20212021Бервицкий А.В., Гужин В.Э., Мойсак Г.И., Бабченко В.Я., Рзаев Д.А.Bervitskiy A.V., Guzhin V.E., Moisak G.I., Babchenko V.Y., Rzaev D.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/969

Венозные тромбоэмболические осложнения (ВТЭО) — актуальная проблема всех хирургических специальностей, и нейрохирургия не стала исключением. Данные о частоте послеоперационного тромбоза глубоких вен и тромбоэмболии легочной артерии варьируют в широком диапазоне: от 0 до 34 % и от 0 до 3,8 % соответственно. По некоторым оценкам, ВТЭО стоят на 2-м месте среди причин летальных исходов после нейрохирургических операций, что делает изучение данной проблемы крайне важным для улучшения качества медицинской помощи. Обзор обобщает данные современной научной литературы о частоте ВТЭО, а также о патогенезе, стратификации риска и методах профилактики тромбоза глубоких вен и тромбоэмболии легочной артерии.

Venous thromboembolic complications (VTE) are an actual problem for all surgical specialties, and neurosurgery was no exception. Data on the incidence of deep vein thrombosis and pulmonary embolism vary over a wide range: from 0 to 34 % andfrom 0 to 3.8 %, respectively. According to some estimates, VTE are in second place among the causes of postoperative mortality in neurosurgery, which makes the study of this topic relevant and undoubtedly important for improving the quality of care for patients. The article provides an overview of modern scientific literature, relevant data on the frequency of occurrence of VTE. The issues of pathogenesis, risk stratification and methods for the prevention of deep vein thrombosis and pulmonary embolism are highlighted.

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