Phlebology, consultative work in a polyclinic

1.1. US, Duplex scaning, D-Dimer test, indication for invasive methods. 2. Conservative treatments: compression, sclerotheraphy, application of drugs: anticoagulation, flavonoids. 3. Surgical treatments: high ligation and stripping, dissection of perforating vein. 4. Alternative treatment: endovenous laser, radiofrequency oblation, transluminal flebectomy, thrombolysis. 5. Surgical, combined surgical/endoluminal treatment of venous thrombosis, include thromboablative: percutaneous mechanical, surgical trombectomy, catheter - directed thrombolysis, stent placement; venacaval interrupotion. 6. Anticoagulants for theraphy and prophylaxis of DVT.

1.1. To know * a first line treatment of acute DVT, pulmonal embolism, * length of anticoagulant (warfarin, thrombin/ Xa-factor inhibitors) treatment in DVT cases, INR ratio, in pulmonal embolism, * Compression pressure fo stocking duration of treatment, * Indication for screening the coagulation system, D-Dimer test and Doplerography middle - and long - time period after DVT. 2. Indications of Thrombolytic thepary: systemic/ local - regional (catheter directed). 3. Percutaneous mechanical thrombectomy.'stent implantation. 4. Surgical thrombectomy, venacaval interruption.

1.Prevention of venous thromboemolism in patients undergoing surgery. Patients can be stratisfied into risk levels based on * type of operation * age * presence of additional risk factors and thromboprophylaxis given accordingly. Indication for surgical thrombectomy, endovenous thrombectomy with a stent implantation. Extraanatomic veno-venous bypass(Palma operation) with a GSV. The role of compression therapy. Congenital aneurysm, malformation, multiple A-V fistulas.