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-  2017 

机械吸栓、导管溶栓治疗急性髂股静脉血栓的临床体会 Clinical Therapeutic Effect of Percutaneous Mechanical Thrombectomy Combinded with Catheterdirected Thrombolysis on the Treatment of Acute Iliofemoral Venous Thrombosis

Keywords: 髂股静脉血栓,机械吸栓,置管溶栓

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Abstract:

目的:探讨数字血管减影(DSA)下机械吸栓配合置管溶栓术对急性髂股静脉血栓形成治疗的安全性和临床疗效。方法:对10例下肢累及髂股静脉血栓病人先置入Celect下腔静脉滤器,然后采用DSA下经患侧腘静脉顺穿置入Aspirex静脉吸栓导管分段吸除髂股静脉内血栓,如髂静脉受压予12mm球囊扩张,后配合unifuse溶栓导管置管溶栓。溶栓24h后造影,酌情髂总静脉置入支架,并维持抗凝治疗6-12个月,术后3-6月回收Celect下腔静脉滤器。结果:10例患者均手术顺利,术后全组患肢症状均明显缓解,3月复查全部患肢髂股静脉通畅,临床症状消失,6月内滤器全部取出,随访期间2例存在下肢深静脉轻度返流现象。结论:DSA下机械导管吸栓配合置管溶栓对急性髂股深静脉血栓治疗具有安全、微创、高效的临床特点,值得临床推广

References

[1]  中华医学会外科分会血管外科学组,李晓强,王深明.深静脉血栓形成的诊断和治疗指南(第二版)[J].中华普通外科杂志,2012,27(7):605-607.Vascular Surgery Department of Chinese Medical Association,Li XQ,Wang SM.Diagnosis and Therapy Guideline for Deep Venous Thrombosis information(The second edition)[J].Journal of Chinese Common Surgery,2012,27(7):605-607.
[2]  Ryu RK,Desai K,Karp J,et al.Clinical Study:A Comparison of Retrievability:Celect versus Option Filter[J].Journal of Vascular and Interventional Radiology,2015,26(6):865-869.
[3]  Lichtenberg M,Stahlhoff W,Kramer V.Effectiveness and safety analysis of the Aspirex rotational thrombectomy catheter for treatment of ileofemoral deep vein thrombosis[J].Vasa:Zeitschrift für Gefaesskrankheiten,2015,44:16-17.
[4]  Hager E,You T,Avgerinos E,et al.Clinical research study:Anatomic and functional outcomes of pharmacomechanical and catheter-directed thrombolysis of iliofemoral deep venous thrombosis[J].Journal of Vascular Surgery:Venous and Lymphatic Disorders,2014,2(3):246-252.
[5]  Lara NR,Raj KP,David EG,et al.Relationship between development of post-thrombotic synclrone and serial ultrasound,D-dimer,and factorⅧactivity agter a first deep verous thrombosis[J].Journal of Vascular Surgery Venous and Lymphaeic Disorders,2016,4(1):28-35.
[6]  Ahmed O,Ng J,Patel M,et al.Clinical Study:Endovascular Stent Placement for May-Thurner Syndrome in the Absence of Acute Deep Vein Thrombosis[J].Journal of Vascular and Interventional Radiology,2016,27(2):167-173.

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