一例由左髂静脉支架诱发的下腔静脉血栓形成病例。

Wei Wei, Jiang Xuemei, Xu Bo, Chen Yikuan

Department of Vascular Surgery, Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.

Department of Hematology, Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.

Thorac Cardiovasc Surg Rep. 2018 Jan;7(1):e39-e42. doi: 10.1055/s-0038-1672212. Epub 2018 Oct 18.

Stents have been widely used to restore the patency of the iliac vein in the treatment of its obstruction. However, various complications related to those stents have been reported. This case report covers a 67-year-old male who was diagnosed with left iliofemoral venous post-thrombotic syndrome with recurrent acute deep venous thrombosis. Thrombosis of the inferior vena cava was induced by pronounced extension of left iliac vein stents. Extending stents in this way covers the outlet of the contralateral common iliac vein and may induce thrombosis in the inferior vena cava.

支架已被广泛用于恢复髂静脉通畅以治疗其阻塞。然而，与这些支架相关的各种并发症已有报道。本病例报告涵盖一名67岁男性，他被诊断为左髂股静脉血栓形成后综合征并伴有复发性急性深静脉血栓形成。左髂静脉支架的明显延伸导致下腔静脉血栓形成。以这种方式延伸支架会覆盖对侧髂总静脉的出口，并可能导致下腔静脉血栓形成。