Angiology - Interdisciplinary Center of Vascular Diseases, Ernst von Bergmann Klinikum Potsdam, Germany.
Nephrology, Endokrinology/Diabetology, Ernst von Bergmann Klinikum Potsdam, Germany.
Vasa. 2021 Jul;50(4):250-264. doi: 10.1024/0301-1526/a000919. Epub 2021 Jan 18.
Inferior vena cava syndrome (IVCS) is caused by agenesis, compression, invasion, or thrombosis of the IVC, or may be associated with Budd-Chiari syndrome. Its incidence and prevalence are unknown. Benign IVCS is separated from malignant IVCS. Both cover a wide clinical spectrum reaching from asymptomatic to highly symptomatic cases correlated to the underlying cause, the acuity, the extent of the venous obstruction, and the recruitment and development of venous collateral circuits. Imaging is necessary to determine the underlying cause of IVCS and to guide clinical decisions. Interventional therapy has changed the therapeutic approach in symptomatic patients. This article provides an overview over IVCS and focuses on interventional therapeutic methods and results.
下腔静脉综合征（IVCS）由下腔静脉的发育不全、压迫、侵犯或血栓形成引起，也可能与布加氏综合征有关。其发病率和患病率尚不清楚。良性 IVCS 与恶性 IVCS 不同。两者涵盖了广泛的临床谱，从无症状到与潜在病因、急性程度、静脉阻塞程度以及静脉侧支循环募集和发展相关的高度症状性病例。影像学检查对于确定 IVCS 的潜在病因并指导临床决策是必要的。介入治疗改变了有症状患者的治疗方法。本文概述了 IVCS，并重点介绍了介入治疗方法和结果。
