Prophylaxis of venous thromboembolism after severe stroke
Riabinkina, I.V.; Gnedovskaia, E.V.; Piradov, M.A.; Kuntsevich, G.I.
Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova 110(9 Part 2): 18-23
2010
ISSN/ISBN: 1997-7298 PMID: 21462436 Document Number: 641248
Venous thromboembolism (VTE), a deep and superficial thrombosis and pulmonary embolism, is a very important problem of severe stroke. Pulmonary embolism (PE) significantly influences the course and outcome of severe stroke. The cause of this effect lies not only in severe patient's condition, high risk of VTE and difficulties in diagnosis of VTE but in still common limits in prophylaxis and treatment of PE in severe stroke, first of all, in brain hemorrhages and large brain infarctions with secondary hemorrhage. The paper presents the main principles and methods of prophylaxis of VTE in severe stroke. The suggested approach allows to decrease the frequency of VTE and fatal outcomes in severe stroke in the modern neuro-intensive care units.