Patel T, Shah S, Sanghvi K, Fonseca K
Krishna Heart Institute, Ahmedabad, India.
Catheter Cardiovasc Interv. 2001 Apr;52(4):492-5. doi: 10.1002/ccd.1110.
We describe a case of a 30-year-old male who presented with features of noncirrhotic portal hypertension, who was diagnosed to have inferior vena cava (IVC) obstruction. IVC angiogram and ultrasound study revealed a long-segment (36 mm long), chronic total thrombotic occlusion that was dilated and stented with a satisfactory end result. The unique feature of this case is a modified sharp recanulization technique involving the use of Brokenborough (septal puncture) needle and Mullin dilator to create a track in such a long, chronic total occlusion under simultaneous ultrasound and fluoroscopic guidance.
我们描述了一例30岁男性患者，其表现为非肝硬化性门静脉高压特征，诊断为下腔静脉（IVC）阻塞。IVC血管造影和超声检查显示为长段（36毫米长）慢性完全血栓性闭塞，对其进行了扩张并置入支架，最终结果令人满意。该病例的独特之处在于采用了改良的锐性再通技术，即在超声和荧光透视同时引导下，使用布罗肯伯勒（间隔穿刺）针和穆林扩张器在如此长的慢性完全闭塞病变中创建一条通道。
