Chick Jeffrey Forris Beecham, Srinivasa Ravi N, Cooper Kyle J, Jairath Neil, Hage Anthony N, Spencer Brooke, Abramowitz Steven D
Department of Radiology, University of Michigan Health System, Ann Arbor, MI; Department of Cardiovascular and Interventional Radiology, Inova Alexandria Hospital, Alexandria, VA.
Department of Radiology, University of Michigan Health System, Ann Arbor, MI.
Tech Vasc Interv Radiol. 2018 Jun;21(2):92-104. doi: 10.1053/j.tvir.2018.03.005. Epub 2018 Mar 8.
Iliocaval thrombosis, or thrombosis of the inferior vena cava and iliac veins, is associated with significant morbidity in the form of limb-threatening compromise from phlegmasia cerulean dolens, development of post-thrombotic syndrome, and death secondary to pulmonary embolism. Endovascular iliocaval reconstruction is an effective treatment for iliocaval thrombosis with high levels of technical success, favorable clinical outcomes and stent patency rates, and few complications. It is often able to relieve the debilitating symptoms experienced by affected patients and is a viable option for patients who fail conservative management. This article presents an approach to endovascular iliocaval stent reconstruction in patients suffering from chronic iliocaval thrombosis that takes into consideration background, patient selection and indications, timing of intervention, procedural steps, technical considerations, postprocedural care, and outcomes, along with providing schematic illustrations that serve to outline iliocaval stent reconstruction and management of chronic venous occlusions.
髂股静脉血栓形成，即下腔静脉和髂静脉血栓形成，与严重的发病率相关，其表现形式包括因股青肿导致的肢体威胁性损害、血栓形成后综合征的发展以及肺栓塞继发的死亡。血管腔内髂股静脉重建术是治疗髂股静脉血栓形成的有效方法，技术成功率高，临床效果良好，支架通畅率高，并发症少。它通常能够缓解受影响患者所经历的衰弱症状，对于保守治疗失败的患者来说是一个可行的选择。本文介绍了一种针对慢性髂股静脉血栓形成患者的血管腔内髂股静脉支架重建方法，该方法考虑了背景、患者选择和适应症、干预时机、手术步骤、技术要点、术后护理和结果，并提供了示意图，以概述髂股静脉支架重建和慢性静脉闭塞的管理。
