Division of Interventional Radiology, Department of Radiology, Wexner Medical Center, The Ohio State University, Columbus, OH 43210, United States.
Division of Interventional Radiology, Department of Radiology, Wexner Medical Center, The Ohio State University, Columbus, OH 43210, United States.
Thromb Res. 2017 Jan;149:9-16. doi: 10.1016/j.thromres.2016.07.010. Epub 2016 Jul 21.
Inferior vena cava thrombosis (IVCT) is a rare but severe disease that is associated with a high rate of mortality. IVCT can be categorized into primary versus secondary thrombosis dependent upon the underlying pathophysiology. The diagnosis includes both clinical probability assessment as well as the imaging evaluation. The optimal therapeutic strategy remains the target of continued research. Although anticoagulation therapy remains fundamental in treating IVCT, its inherent limitations have led to the use of minimally invasive, endovascular treatment options, including transcatheter thrombolysis, mechanical thrombectomy or a combination of these techniques. This review focuses on the etiology, diagnostic assessment, and endovascular treatment options for IVCT.
下腔静脉血栓形成（IVCT）是一种罕见但严重的疾病，其死亡率很高。IVCT 可分为原发性和继发性血栓形成，这取决于潜在的病理生理学。诊断包括临床概率评估和影像学评估。最佳治疗策略仍然是持续研究的目标。尽管抗凝治疗仍然是治疗 IVCT 的基础，但它固有的局限性导致了微创、血管内治疗选择的使用，包括经导管溶栓、机械血栓切除术或这些技术的联合应用。本综述重点介绍了 IVCT 的病因、诊断评估和血管内治疗选择。
