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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.

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。

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