Engelberger Rolf P, Alatri Adriano, Qanadli Salah D, Calanca Luca, Mazzolai Lucia
Rev Med Suisse. 2015 Feb 4;11(460):348-51.
Nearly half of patients with acute lower limb deep vein thrombosis (DVT) develop a post-thrombotic syndrome (PTS). This risk is particularly high in case of proximal DVT of the common femoral and iliac vein, the major lower limbs venous outflow vessel. Several studies have demonstrated that PTS incidence can be reduced with early vein recanalisation. Currently, catheter-based recanalisation therapies can be offered to selected patients with acute ilio-femoral deep vein thrombosis. Aim of the present article is to summarize current knowledge on these catheter-based recanalisation therapies.
近一半的急性下肢深静脉血栓形成(DVT)患者会发生血栓后综合征(PTS)。在股总静脉和髂静脉近端DVT(主要的下肢静脉流出血管)的情况下,这种风险尤其高。多项研究表明,早期静脉再通可降低PTS的发生率。目前,可以为选定的急性髂股深静脉血栓形成患者提供基于导管的再通治疗。本文的目的是总结目前关于这些基于导管的再通治疗的知识。