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肺栓塞:下腔静脉滤器置入及手术取栓术后成功治疗股浅静脉漂浮血栓。

Pulmonary embolism: Successful treatment of floating thrombus in SFJ after vena cava filter insertion and surgical thrombectomy.

作者信息

Marchetti Andrea Ascoli, Davila Bernardo Orellana, Oddi Fabio Massimo, Ippoliti Arnaldo

机构信息

Vascular Surgery Unit, Biomedicine and Prevention Department, University of Rome, Rome, Italy.

出版信息

JRSM Cardiovasc Dis. 2020 Nov 30;9:2048004020976256. doi: 10.1177/2048004020976256. eCollection 2020 Jan-Dec.

DOI:10.1177/2048004020976256
PMID:33294173
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7708661/
Abstract

The floating venous thrombus in the common femoral vein has a high potential risk for pulmonary embolization. Clinical treatments, using anticoagulants or fibrinolytic, open thrombectomies, or thrombectomies by endovascular devices have all been used. Our case describe an obese patient affected by floating thrombus coming from GSV and diving in common femoral vein successful treated by combined both temporary vena cava insertion and open surgical thrombectomy.

摘要

股总静脉内的漂浮静脉血栓具有较高的肺栓塞潜在风险。临床治疗方法包括使用抗凝剂或纤溶剂、开放性血栓切除术或通过血管内装置进行血栓切除术。我们的病例描述了一名肥胖患者,其股总静脉内有来自大隐静脉的漂浮血栓,通过临时腔静脉插管和开放性手术血栓切除术相结合的方法成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b0f/7708661/707391704a48/10.1177_2048004020976256-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b0f/7708661/e7890eee3f7b/10.1177_2048004020976256-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b0f/7708661/90c4b0adefb1/10.1177_2048004020976256-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b0f/7708661/707391704a48/10.1177_2048004020976256-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b0f/7708661/e7890eee3f7b/10.1177_2048004020976256-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b0f/7708661/90c4b0adefb1/10.1177_2048004020976256-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b0f/7708661/707391704a48/10.1177_2048004020976256-fig3.jpg

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Risk of fatal pulmonary embolism in patients with treated venous thromboembolism.接受治疗的静脉血栓栓塞症患者发生致命性肺栓塞的风险
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A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis. Prévention du Risque d'Embolie Pulmonaire par Interruption Cave Study Group.一项关于腔静脉滤器预防近端深静脉血栓形成患者肺栓塞的临床试验。腔静脉阻断预防肺栓塞风险研究组。
N Engl J Med. 1998 Feb 12;338(7):409-15. doi: 10.1056/NEJM199802123380701.