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经皮椎体成形术联合聚甲基丙烯酸甲酯骨水泥治疗后并发静脉血栓形成的溶栓、血管成形术和支架置入术。

Successful thrombolysis, angioplasty, and stenting of delayed thrombosis in the vena cava following percutaneous vertebroplasty with polymethylmethacrylate cement.

机构信息

Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

出版信息

J Vasc Surg. 2012 Oct;56(4):1119-23. doi: 10.1016/j.jvs.2012.02.039. Epub 2012 May 8.

Abstract

Percutaneous vertebroplasty is a widely used treatment for vertebral compression fracture. It is relatively safe, but it can be complicated by pulmonary or cerebral embolism caused by the cement injected during the procedure. Here, we present a case of a 69-year-old male with extensive deep vein thrombosis from the inferior vena cava to the right iliac and left femoral veins, which occurred 10 months after vertebroplasty. He was treated successfully by catheter-directed thrombolysis, angioplasty, and stenting. To the best of our knowledge, this is the first report of the successful treatment of delayed thrombosis caused by migrated cement inside the inferior vena cava.

摘要

经皮椎体成形术是治疗椎体压缩性骨折的一种广泛应用的方法。它相对安全,但在手术过程中注入的水泥可能会引起肺或脑栓塞。在这里,我们报告了一例 69 岁男性,在椎体成形术后 10 个月,从下腔静脉到右髂静脉和左股静脉发生广泛的深静脉血栓形成。他通过导管定向溶栓、血管成形术和支架置入术成功治疗。据我们所知,这是首例成功治疗下腔静脉内迁移水泥引起的迟发性血栓形成的报告。

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