Crowner Jason R, Marston William
Division of Vascular Surgery, Department of Surgery, University of North Carolina, Chapel Hill, NC.
J Vasc Surg Cases Innov Tech. 2019 Jun 29;5(3):302-304. doi: 10.1016/j.jvscit.2019.03.010. eCollection 2019 Sep.
A 53-year-old man developed acute left leg pain and edema 2 weeks after lumbar interbody fusion. A computed tomography venogram demonstrated acute thrombosis extending from the deep veins of the calf all the way to and including the common iliac vein owing to external compression of common iliac vein secondary to extruded bone graft material. Endovascular intervention without the use of thrombolysis was performed using a novel percutaneous mechanical thrombectomy system (ClotTriever, Inari Medical, Irvine, Calif), allowing clot removal in single session. Clot removal and stenting were performed with resolution of symptoms and only mild swelling with prolonged standing at the 6-month follow-up.
一名53岁男性在腰椎椎间融合术后2周出现左腿急性疼痛和水肿。计算机断层静脉造影显示，由于突出的骨移植材料对髂总静脉的外部压迫，急性血栓形成从小腿深静脉一直延伸至包括髂总静脉。使用新型经皮机械血栓清除系统（ClotTriever，Inari Medical，加利福尼亚州欧文市）进行了不使用溶栓的血管内介入治疗，一次治疗即可清除血栓。在6个月的随访中，血栓清除和支架置入术后症状缓解，仅在长时间站立时有轻度肿胀。
