Sang Hongfei, Li Xiaoqiang, Qian Aimin, Meng Qingyou
Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Ann Vasc Surg. 2014 Aug;28(6):1493-500. doi: 10.1016/j.avsg.2014.03.031. Epub 2014 Apr 13.
The postthrombotic syndrome (PTS) is a chronic complication of deep venous thrombosis (DVT) that is characterized by leg swelling and ulceration.
Sixty-seven cases of PTS underwent attempted endovascular treatment with success in 63 between June 2005 and June 2012. Thirty-six cases underwent endovascular treatment only and 18 cases combined with temporary femoral arteriovenous fistula, 5 cases great saphenous vein ligation and stripping whereas 4 cases with communicating branch ligation around ulcers.
Stenting was successfully performed in 63 of 67 patients. The technical success rate was 94% with no mortality. Fifty-eight cases were followed up from 1 to 84 months. Stent occlusion or restenosis occurred in 17 patients. The primary and secondary patency rates were 87.9% and 93.1%, respectively, at 12 months and 70.7% and 82.8%, respectively, at 36 months.
Endovascular treatment of PTS is safe and effective. It can alleviate symptoms and prevent further deterioration of patients with PTS.
血栓形成后综合征（PTS）是深静脉血栓形成（DVT）的一种慢性并发症，其特征为腿部肿胀和溃疡。
2005年6月至2012年6月期间，67例PTS患者尝试进行血管内治疗，其中63例成功。36例仅接受血管内治疗，18例联合临时股动静脉瘘，5例行大隐静脉结扎剥脱术，4例在溃疡周围结扎交通支。
67例患者中的63例成功置入支架。技术成功率为94%，无死亡病例。58例患者随访1至84个月。17例患者发生支架闭塞或再狭窄。12个月时的初级和次级通畅率分别为87.9%和93.1%，36个月时分别为70.7%和82.8%。
PTS的血管内治疗安全有效。它可以缓解症状并防止PTS患者病情进一步恶化。
