Gandhi Arpit H, Wakefield Thomas W, Williams David M
Department of Anesthesiology, Frankel Cardiovascular Center, University Hospitals, University of Michigan, Ann Arbor, Mich.
Section of Vascular Surgery, Department of Surgery, Frankel Cardiovascular Center, University Hospitals, University of Michigan, Ann Arbor, Mich.
J Vasc Surg. 2015 Sep;62(3):747-9. doi: 10.1016/j.jvs.2014.02.039. Epub 2014 Mar 26.
Intentional interruption of the inferior vena cava with caval ligation and a Mobin-Uddin filter was once commonly used to prevent recurrent pulmonary emboli and was associated with significant mortality and morbidity, including a high incidence of post-thrombotic syndrome. Recanalization of an intentionally interrupted inferior vena cava has been rarely described in literature and is commonly considered futile. We describe two patients with post-thrombotic syndrome as a late complication of caval ligation and a thrombosed Mobin-Uddin filter, with significant and sustained improvement after endovascular recanalization.
通过腔静脉结扎术和莫宾-乌丁过滤器故意中断下腔静脉，曾常用于预防复发性肺栓塞，且与显著的死亡率和发病率相关，包括血栓形成后综合征的高发病率。文献中很少描述故意中断的下腔静脉再通情况，通常认为这种再通是徒劳的。我们描述了两名患者，他们因腔静脉结扎术和血栓形成的莫宾-乌丁过滤器出现血栓形成后综合征这一晚期并发症，在血管内再通后有显著且持续的改善。
