Department of Radiology, University of Alabama at Birmingham, Alabama, USA.
J Endovasc Ther. 2011 Oct;18(5):739-43. doi: 10.1583/11-3538.1.
To present a new endovascular technique for treating acute large thrombus burden in the iliocaval venous system.
This method is demonstrated in a 62-year-old man with end-stage renal disease on hemodialysis who had a nonfunctioning right femoral dialysis catheter that was placed 3 month earlier. After catheter removal, venography demonstrated significant thrombus in the inferior vena cava (IVC) and both iliac veins. The patient was treated successfully using two simultaneously operating Trellis-8 thrombolysis catheters placed side-by-side in the IVC and both iliac veins in a "kissing" configuration.
This technique was able to effectively debulk acute large thrombus burden in the iliocaval system in a single session and preserve the patient's available hemodialysis access. The technique has the potential to minimize morbidity, duration of hospital stay, and overall cost of treatment.
介绍一种治疗髂股静脉系统急性大血栓负荷的新型血管内治疗技术。
本方法展示于一名 62 岁男性，终末期肾病行血液透析，3 个月前留置右侧股部透析导管，目前导管功能丧失。导管取出后，静脉造影显示下腔静脉（IVC）和双侧髂静脉内有大量血栓。采用并排放置在 IVC 和双侧髂静脉内的“亲吻”构型的 2 个同时操作的 Trellis-8 溶栓导管，成功治疗了该患者。
该技术能够在单次治疗中有效清除髂股静脉系统的急性大血栓负荷，并保留患者现有的血液透析通路。该技术有可能最大限度地降低发病率、住院时间和治疗的总体成本。
