Lichtenberg Michael, de Graaf Rick, Erbel Christian
1 Klinikum Arnsberg GmbH, Karolinen-Hospital, Arnsberg-Hüsten, Germany.
2 University Clinic Heidelberg, Heidelberg, Germany.
Vasa. 2018 Jun;47(4):259-266. doi: 10.1024/0301-1526/a000696. Epub 2018 Mar 8.
Postthrombotic syndrome (PTS) is the most common complication after iliofemoral deep vein thrombosis. It reduces quality of life and increases deep vein thrombosis (DVT)-related costs. The clinical symptoms and severity of PTS may vary; the most common symptoms include edema, pain (venous claudication), hyperpigmentation, lipodermatosclerosis, and ulceration. PTS is based on the principle of outflow obstruction, which may be caused by venous hypertension and may lead to valvular damage and venous reflux or insufficiency. Recent technical developments and new stent techniques now allow recanalisation of even complex venous outflow obstructions within the iliac vein and the inferior vena cava. This manuscript gives an overview on the latest standards for venous recanalisation.
血栓形成后综合征（PTS）是髂股深静脉血栓形成后最常见的并发症。它会降低生活质量并增加与深静脉血栓形成（DVT）相关的费用。PTS的临床症状和严重程度可能有所不同；最常见的症状包括水肿、疼痛（静脉性跛行）、色素沉着、脂肪皮肤硬化和溃疡。PTS基于流出道梗阻的原理，这可能由静脉高压引起，并可能导致瓣膜损伤和静脉反流或功能不全。最近的技术发展和新的支架技术现在甚至允许对髂静脉和下腔静脉内复杂的静脉流出道梗阻进行再通。本文对静脉再通的最新标准进行了概述。
