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一名结直肠癌患者的上腔静脉(SVC)综合征和下腔静脉(IVC)血栓形成的治疗:联合SVC支架置入和IVC滤器植入以缓解症状并为端口植入铺平道路。

Treatment of superior vena cava (SVC) syndrome and inferior vena cava (IVC) thrombosis in a patient with colorectal cancer: combination of SVC stenting and IVC filter placement to palliate symptoms and pave the way for port implantation.

作者信息

Sauter Alexander, Triller Jürgen, Schmidt Felix, Kickuth Ralph

机构信息

Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University of Berne, Freiburgstrasse 20, CH-3010 Berne, Switzerland.

出版信息

Cardiovasc Intervent Radiol. 2008 Jul;31 Suppl 2:S144-8. doi: 10.1007/s00270-007-9113-7.

Abstract

Thrombosis of the inferior vena cava is a life-threatening complication in cancer patients leading to pulmonary embolism. These patients can also be affected by superior vena cava syndrome causing dyspnea followed by trunk or extremity swelling. We report the case of a 61-year-old female suffering from an extended colorectal tumor who became affected by both of the mentioned complications. Due to thrombus formation within the right vena jugularis interna, thrombosis of the inferior vena cava, and superior vena cava syndrome, a combined interventional procedure via a left jugular access with stenting of the superior vena cava and filter placement into the inferior vena cava was performed As a consequence, relief of the patient's symptoms, prevention of pulmonary embolism, and paving of the way for further venous chemotherapy were achieved.

摘要

下腔静脉血栓形成是癌症患者中一种危及生命的并发症,可导致肺栓塞。这些患者还可能受到上腔静脉综合征的影响,导致呼吸困难,随后出现躯干或四肢肿胀。我们报告了一例61岁患有广泛性结肠直肠肿瘤的女性患者,她同时出现了上述两种并发症。由于右侧颈内静脉内形成血栓、下腔静脉血栓形成以及上腔静脉综合征,通过左侧颈静脉通路进行了一项联合介入手术,对上腔静脉进行支架置入,并在下腔静脉放置滤器。结果,患者症状得到缓解,预防了肺栓塞,并为进一步的静脉化疗铺平了道路。

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