[Use of low intensity laser irradiation in the treatment of thrombophlebitic complications during subclavian vein catheterization].

A total of 1050 subclavian catheterizations have been performed in an intensive care unit, thrombophlebitic complications have been clinically diagnosed in 22 patients (2.1%), 3 patients developed signs of chronic venous failure long after the procedure. Intravascular laser blood irradiation (IVLBI) reduced hypercoagulation, increased fibrinolytic activity, improved blood viscosity, stimulated collateral blood flow, etc. That is why IVLBI was used in a complex of therapeutic procedures in 7 patients with thrombophlebitic complications upon subclavian catheterization. In 1 patient IVLBI was used in combination with intravenous sodium hypochlorite administration. The course of IVLBI consisted of 5-7 procedures, the power of irradiation at the end of the light probe was 5-6 mWt. The level of medium mass molecules, leukocyte index of intoxication, hematological index of intoxication, coagulogram parameters have been assessed; contrast phlebography was performed in patients with phlebothrombosis before and after IVLBI. There were no signs of chronic venous failure in this group of patients long after the procedure. The author comes to the conclusion that the use of low intensity laser irradiation and intravenous administration of sodium hypochlorite improve the effect of therapy in postcatheterization thrombophlebitic complications.