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Pharmacomechanical thrombolysis in the management of paget-schroetter syndrome.

作者信息

Papantoniou Elli, Morgan-Rowe Luke, Johnston Edward, Brennand Duncan, Raja Jowad, Hague Julian

机构信息

Multidisciplinary Endovascular Team, University College London Hospitals, 235 Euston Road, London NW1 2BU, UK.

出版信息

Case Rep Radiol. 2013;2013:214804. doi: 10.1155/2013/214804. Epub 2013 Feb 11.

DOI:10.1155/2013/214804
PMID:23476869
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3582099/
Abstract

Paget-Schroetter syndrome (PSS) is a rare form of thoracic outlet syndrome caused by axillosubclavian vein thrombosis which typically presents in healthy young adults. Prompt therapy, traditionally by means of catheter-directed thrombolysis (CDT) prior to definitive surgery, can prevent the subsequent onset of postthrombotic syndrome (PTS) and considerable disability. As CDT is associated with major haemorrhage and high overall treatment cost, pharmacomechanical thrombectomy (PMT) seems to be an attractive alternative which combines pharmacological thrombolysis with mechanical clot disruption. The Trellis-8 peripheral infusion catheter is an example of such a treatment which provides topical thrombolysis in an isolated zone. We describe the use of the Trellis-8 PMT system in the successful management of three patients with PSS.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d2/3582099/5021cb0f1e63/CRIM.RADIOLOGY2013-214804.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d2/3582099/e189134cfe79/CRIM.RADIOLOGY2013-214804.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d2/3582099/1e512f9bd40b/CRIM.RADIOLOGY2013-214804.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d2/3582099/5021cb0f1e63/CRIM.RADIOLOGY2013-214804.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d2/3582099/e189134cfe79/CRIM.RADIOLOGY2013-214804.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d2/3582099/1e512f9bd40b/CRIM.RADIOLOGY2013-214804.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d2/3582099/5021cb0f1e63/CRIM.RADIOLOGY2013-214804.003.jpg

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本文引用的文献

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The role of interventional radiology in the management of deep venous thrombosis: advanced therapy.介入放射学在深静脉血栓形成治疗中的作用：高级治疗方法。
Cardiovasc Intervent Radiol. 2011 Jun;34(3):445-61. doi: 10.1007/s00270-010-9977-9. Epub 2010 Oct 7.
2
Bradyarrhythmias during rheolytic pharmacomechanical thrombectomy for deep vein thrombosis.在深静脉血栓形成的旋磨机械血栓切除术中出现的缓心律失常。
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A comprehensive review of Paget-Schroetter syndrome.佩吉特-施罗氏综合征的全面综述。
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Paget-Schroetter syndrome: an uncommon cause of pulmonary embolic disease.佩吉特-施罗氏综合征：肺栓塞的不常见病因。
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Clinical and economic evaluation of the Trellis-8 infusion catheter for deep vein thrombosis.用于深静脉血栓形成的Trellis-8输注导管的临床和经济评估。
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Pharmacomechanical thrombectomy of acute deep vein thrombosis with the Trellis-8 isolated thrombolysis catheter.使用Trellis-8孤立溶栓导管对急性深静脉血栓形成进行药物机械性血栓切除术。
J Vasc Interv Radiol. 2007 Jun;18(6):715-24. doi: 10.1016/j.jvir.2007.03.013.
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Power-pulse spray thrombectomy for treatment of Paget-Schroetter syndrome.
AJR Am J Roentgenol. 2007 May;188(5):1215-7. doi: 10.2214/AJR.06.0028.
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Presumed pulmonary embolism following power-pulse spray thrombectomy of upper extremity venous thrombosis.
Cardiovasc Intervent Radiol. 2006 Jul-Aug;29(4):678-80. doi: 10.1007/s00270-005-0086-0.
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The post-thrombotic syndrome after upper extremity deep venous thrombosis in adults: a systematic review.成人上肢深静脉血栓形成后的血栓后综合征：一项系统评价。
Thromb Res. 2006;117(6):609-14. doi: 10.1016/j.thromres.2005.05.029. Epub 2005 Jul 6.