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针对患有严重动脉疾病和May-Thurner综合征的肢体蓝肿症进行延迟但成功的机械取栓术。

Delayed Yet Successful Mechanical Thrombectomy for Phlegmasia Cerulea Dolens in a Limb with Severe Arterial Disease and May-Thurner Syndrome.

作者信息

Said Ahmad, Kraft Phillip, Sayed Luay

机构信息

Department of Internal Medicine, Beaumont Health, Troy, MI, USA.

Oakland University William Beaumont School of Medicine, Rochester, MI, USA.

出版信息

Case Rep Vasc Med. 2020 Nov 1;2020:8866030. doi: 10.1155/2020/8866030. eCollection 2020.

DOI:10.1155/2020/8866030
PMID:33204571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7652628/
Abstract

Phlegmasia cerulea dolens (PCD) is a rare but life-threatening complication of acute deep venous thrombosis that lacks consensus regarding the approach to management. We present a case of PCD developing shortly after a spinal surgery and manifesting as acute swelling and discoloration in a leg with existing severe atherosclerotic arterial disease. The patient's critical limb ischemia was completely and rapidly reversed by percutaneous mechanical thrombectomy using the ClotTriever device despite a delay in treatment. An underlying iliac vein compression "May-Thurner" syndrome was discovered using intravascular ultrasound and treated with angioplasty. This case identifies mechanical thrombectomy using the ClotTriever system as a possible effective and safe treatment for PCD.

摘要

股青肿是急性深静脉血栓形成的一种罕见但危及生命的并发症，在治疗方法上缺乏共识。我们报告一例在脊柱手术后不久发生股青肿的病例，表现为患有严重动脉粥样硬化性疾病的一侧下肢急性肿胀和变色。尽管治疗延迟，但使用ClotTriever装置进行经皮机械血栓切除术使患者的严重肢体缺血得到了完全且迅速的逆转。通过血管内超声发现了潜在的髂静脉受压“梅-图二氏”综合征，并进行了血管成形术治疗。该病例表明，使用ClotTriever系统进行机械血栓切除术可能是治疗股青肿的一种有效且安全的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b3f/7652628/2af8418f2f4b/CRIVAM2020-8866030.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b3f/7652628/b8c2c9e7862e/CRIVAM2020-8866030.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b3f/7652628/e0cc26f382f9/CRIVAM2020-8866030.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b3f/7652628/189bd90c8e1c/CRIVAM2020-8866030.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b3f/7652628/5acc513eb2f3/CRIVAM2020-8866030.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b3f/7652628/2af8418f2f4b/CRIVAM2020-8866030.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b3f/7652628/b8c2c9e7862e/CRIVAM2020-8866030.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b3f/7652628/e0cc26f382f9/CRIVAM2020-8866030.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b3f/7652628/189bd90c8e1c/CRIVAM2020-8866030.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b3f/7652628/5acc513eb2f3/CRIVAM2020-8866030.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b3f/7652628/2af8418f2f4b/CRIVAM2020-8866030.005.jpg

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Technical success and short-term outcomes after treatment of lower extremity deep vein thrombosis with the ClotTriever system: A preliminary experience.ClotTriever 系统治疗下肢深静脉血栓的技术成功和短期结果：初步经验。
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Acute Thrombolysis-Resistant Occlusive Left Femoral and Iliac Venous Thrombosis Treated with Mechanical Thrombectomy via the ClotTriever Device.
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