Daub Aaron C, Shin David S, Meissner Mark H, Ingraham Christopher R, Monroe Eric J, Chick Jeffrey Forris Beecham
Section of Vascular and Interventional Radiology, Department of Radiology, University of Washington, Seattle, Wash.
Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, Wash.
J Vasc Surg Cases Innov Tech. 2021 May 21;7(3):469-473. doi: 10.1016/j.jvscit.2021.05.007. eCollection 2021 Sep.
Acute iliofemoral deep vein thrombosis may present with pain and swelling or phlegmasia cerulea dolens. When thrombosis occurs in the setting of an underlying venous obstruction, stent reconstruction should be performed after thrombus clearance to prevent rethrombosis. Stent reconstruction after thrombus clearance is associated with high technical success rates and durable patency. This report describes transient lower extremity arterial insufficiency and neurologic deficit after external iliac vein stent expansion and reconstruction within a confined space resulting from a malignant obstruction. It serves as a cautionary tale that, in rare cases, aggressive venous stenting within a confined space can transfer clinically significant forces to adjacent arteries and nerves.
急性髂股深静脉血栓形成可能表现为疼痛、肿胀或股青肿。当在潜在静脉阻塞的情况下发生血栓形成时，应在清除血栓后进行支架重建以防止再次血栓形成。清除血栓后的支架重建具有较高的技术成功率和持久的通畅率。本报告描述了在恶性阻塞导致的狭窄空间内进行髂外静脉支架扩张和重建后出现的短暂性下肢动脉供血不足和神经功能缺损。这是一个警示案例，即在罕见情况下，在狭窄空间内积极进行静脉支架置入可将具有临床意义的力量传递至相邻的动脉和神经。
