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机械取栓辅助溶栓治疗急性症状性门静脉和肠系膜上静脉血栓形成

Mechanical thrombectomy-assisted thrombolysis for acute symptomatic portal and superior mesenteric venous thrombosis.

作者信息

Jun Kang Woong, Kim Mi Hyeong, Park Keun Myoung, Chun Ho Jong, Hong Kee Chun, Jeon Yong Sun, Cho Soon Gu, Kim Jang Yong

机构信息

Department of Surgery, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.

Department of Radiology, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.

出版信息

Ann Surg Treat Res. 2014 Jun;86(6):334-41. doi: 10.4174/astr.2014.86.6.334. Epub 2014 May 23.

DOI:10.4174/astr.2014.86.6.334
PMID:24949327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4062453/
Abstract

Acute portal vein and mesenteric vein thrombosis (PVMVT) can cause acute mesenteric ischemia and be fatal with mortality rate of 37%-76%. Therefore, early diagnosis and prompt venous revascularization are warranted in patients with acute symptomatic PVMVT. Due to advances in catheter-directed treatment, endovascular treatment has been used for revascularization of affected vessels in PVMVT. We report two cases of symptomatic PVMVT treated successfully by transhepatic percutaneous mechanical thrombectomy-assisted thrombolysis.

摘要

急性门静脉和肠系膜静脉血栓形成（PVMVT）可导致急性肠系膜缺血，具有致命性，死亡率为37%-76%。因此，对于有症状的急性PVMVT患者，有必要进行早期诊断并及时进行静脉血管重建。由于导管定向治疗的进展，血管内治疗已被用于PVMVT中受影响血管的血管重建。我们报告了两例通过经肝经皮机械血栓切除术辅助溶栓成功治疗的有症状PVMVT病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac7a/4062453/5f5f5db2ff57/astr-86-334-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac7a/4062453/f12a2dc87681/astr-86-334-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac7a/4062453/75d27145452e/astr-86-334-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac7a/4062453/d4f1303550ca/astr-86-334-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac7a/4062453/a9fd598d9a40/astr-86-334-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac7a/4062453/5f5f5db2ff57/astr-86-334-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac7a/4062453/f12a2dc87681/astr-86-334-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac7a/4062453/75d27145452e/astr-86-334-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac7a/4062453/d4f1303550ca/astr-86-334-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac7a/4062453/a9fd598d9a40/astr-86-334-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac7a/4062453/5f5f5db2ff57/astr-86-334-g005.jpg

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