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下腔静脉血栓形成。

Inferior Vena Cava Thrombosis.

机构信息

Division of Cardiovascular Disease, University of Rochester Medical Center, Rochester, New York.

Department of Medicine, Temple University Hospital, Philadelphia, Pennsylvania.

出版信息

JACC Cardiovasc Interv. 2016 Apr 11;9(7):629-43. doi: 10.1016/j.jcin.2015.12.268. Epub 2016 Mar 4.

Abstract

Thrombosis of the inferior vena cava (IVC) is an under-recognized entity that is associated with significant short- and long-term morbidity and mortality. In absence of a congenital anomaly, the most common cause of IVC thrombosis is the presence of an unretrieved IVC filter. Due to the substantial increase in the number of IVC filters placed in the United States and the very low filter retrieval rates, clinicians are faced with a very large population of patients at risk for developing IVC thrombosis. Nevertheless, there is a paucity of data and societal guidelines with regards to the diagnosis and management of IVC thrombosis. This paper aims to enhance the awareness of this uncommon, but morbid, condition by providing a concise, yet comprehensive, review of the etiology, diagnostic approaches, and treatment strategies in patients with IVC thrombosis.

摘要

下腔静脉血栓形成(IVC)是一种未被充分认识的病症,与显著的短期和长期发病率和死亡率相关。在不存在先天异常的情况下,IVC 血栓形成的最常见原因是未取出的 IVC 滤器的存在。由于在美国放置的 IVC 滤器数量大幅增加,且滤器取出率非常低,临床医生面临着大量存在 IVC 血栓形成风险的患者。然而,关于 IVC 血栓形成的诊断和管理,数据和社会指南都非常匮乏。本文旨在通过对 IVC 血栓形成患者的病因、诊断方法和治疗策略进行简明而全面的回顾,提高对这种罕见但严重疾病的认识。

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