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Suprarenal stricture of the inferior vena cava with massive iliocaval and distal thromboses successfully treated with catheter-directed thrombectomy, thrombolysis and angioplasty.下腔静脉肾上腺段狭窄伴大量髂股静脉及远端血栓形成,经导管直接血栓切除术、溶栓及血管成形术成功治疗。
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Bilateral catheter-directed thrombolysis in a patient with deep venous thrombosis caused by a hypoplastic inferior vena cava.一名下腔静脉发育不全导致深静脉血栓形成患者的双侧导管定向溶栓治疗
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7
Outcomes of Pharmacomechanical Catheter-directed Thrombolysis for Acute and Subacute Inferior Vena Cava Thrombosis: A Retrospective Evaluation in a Single Institution.经皮导管接触性溶栓治疗急性和亚急性下腔静脉血栓形成的疗效:单中心回顾性评估。
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The incidence of contralateral iliac venous thrombosis after stenting across the iliocaval confluence in patients with acute or chronic venous outflow obstruction.急性或慢性静脉流出道梗阻患者在髂腔静脉汇合处进行支架置入术后对侧髂静脉血栓形成的发生率。
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Catheter-directed thrombolysis with conventional aspiration thrombectomy for lower extremity deep vein thrombosis.经导管溶栓联合传统抽吸血栓切除术治疗下肢深静脉血栓形成。
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Endovascular Treatment of an Extensive Iliocaval and Renal Vein Thrombosis Secondary to Inferior Vena Cava Stenosis and May-Thurner Type Iliac Vein Compression: A Case Report.下腔静脉狭窄和May-Thurner型髂静脉受压继发广泛髂股静脉和肾静脉血栓形成的血管内治疗:病例报告
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本文引用的文献

1
Determinants and time course of the postthrombotic syndrome after acute deep venous thrombosis.急性下肢深静脉血栓形成后血栓形成后综合征的决定因素及病程
Ann Intern Med. 2008 Nov 18;149(10):698-707. doi: 10.7326/0003-4819-149-10-200811180-00004.
2
Incidence of vena cava thrombosis in the United States.美国腔静脉血栓形成的发病率。
Am J Cardiol. 2008 Oct 1;102(7):927-9. doi: 10.1016/j.amjcard.2008.05.046. Epub 2008 Jul 17.
3
Long-term prognosis after deep venous thrombosis.深静脉血栓形成后的长期预后
Curr Opin Hematol. 2008 Sep;15(5):494-8. doi: 10.1097/MOH.0b013e32830abde2.
4
Iliofemoral venous thrombosis.髂股静脉血栓形成
J Vasc Surg. 2007 Nov;46(5):1065-76. doi: 10.1016/j.jvs.2007.06.021.
5
Catheter-directed Venous Thrombolysis in acute iliofemoral vein thrombosis--the CaVenT study: rationale and design of a multicenter, randomized, controlled, clinical trial (NCT00251771).急性髂股静脉血栓形成的导管定向静脉溶栓治疗——CaVenT研究:一项多中心、随机、对照临床试验的原理与设计(NCT00251771)
Am Heart J. 2007 Nov;154(5):808-14. doi: 10.1016/j.ahj.2007.07.010. Epub 2007 Sep 6.
6
Epidemiology and risk factors for venous thrombosis.静脉血栓形成的流行病学及危险因素
Semin Hematol. 2007 Apr;44(2):62-9. doi: 10.1053/j.seminhematol.2007.02.004.
7
Interruption or congenital stenosis of the inferior vena cava: prevalence, imaging, and clinical findings.下腔静脉中断或先天性狭窄:患病率、影像学表现及临床发现。
Eur J Radiol. 2007 May;62(2):257-66. doi: 10.1016/j.ejrad.2006.11.028. Epub 2006 Dec 11.
8
Catheter-direct thrombolysis versus pharmacomechanical thrombectomy for treatment of symptomatic lower extremity deep venous thrombosis.导管直接溶栓与药物机械性血栓切除术治疗有症状的下肢深静脉血栓形成
Am J Surg. 2006 Dec;192(6):782-8. doi: 10.1016/j.amjsurg.2006.08.045.
9
Acute thrombosis of the inferior vena cava.下腔静脉急性血栓形成
Am J Emerg Med. 2006 Sep;24(5):640-2. doi: 10.1016/j.ajem.2005.12.018.
10
Endovascular treatment of obliterative hepatocavopathy with inferior vena cava occlusion and renal vein thrombosis.伴有下腔静脉闭塞和肾静脉血栓形成的闭塞性肝腔静脉病的血管内治疗
J Vasc Surg. 2006 Jul;44(1):206-9. doi: 10.1016/j.jvs.2006.03.008.

下腔静脉肾上腺段狭窄伴大量髂股静脉及远端血栓形成,经导管直接血栓切除术、溶栓及血管成形术成功治疗。

Suprarenal stricture of the inferior vena cava with massive iliocaval and distal thromboses successfully treated with catheter-directed thrombectomy, thrombolysis and angioplasty.

作者信息

Hughes Melissa, Chang John B, Siegel David, Kissin Mark

机构信息

Long Island Jewish Medical Center, New Hyde Park, New York, USA.

出版信息

Int J Angiol. 2009 Fall;18(3):137-42. doi: 10.1055/s-0031-1278341.

DOI:10.1055/s-0031-1278341
PMID:22477515
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2903022/
Abstract

Long-term complications from deep vein thrombosis, such as post-thrombotic syndrome and chronic venous insufficiency, can result in significant morbidity for the affected patient. Although anticoagulation has been the conventional method of treatment, the benefit of thrombus burden removal cannot be underestimated. The present case report describes the successful treatment of extensive iliocaval and distal thrombosis with suprarenal inferior vena cava stricture using catheter-directed thrombolysis, thrombectomy and angioplasty.

摘要

深静脉血栓形成的长期并发症,如血栓后综合征和慢性静脉功能不全,会给受影响的患者带来显著的发病率。尽管抗凝一直是传统的治疗方法,但消除血栓负荷的益处不可低估。本病例报告描述了使用导管定向溶栓、血栓切除术和血管成形术成功治疗广泛的髂股静脉和远端血栓形成并伴有肾上腺下腔静脉狭窄的情况。