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新型经皮机械血栓切除术治疗伴有胸廓出口综合征的上肢深静脉血栓形成患者。

Novel Percutaneous Mechanical Thrombectomy Device for Treating Upper Extremity Deep Vein Thrombosis in Patient With Paget-Schroetter Syndrome.

机构信息

NJ Endovascular Therapeutics, Vascular Surgery, The Valley Hospital, Ridgewood, NJ, USA.

出版信息

Vasc Endovascular Surg. 2024 Feb;58(2):235-239. doi: 10.1177/15385744231203752. Epub 2023 Sep 21.

DOI:10.1177/15385744231203752
PMID:37732898
Abstract

Paget-Schroetter Syndrome (PSS) is a form of upper extremity deep vein thrombosis (DVT) caused by the external compression of the subclavian vein at the thoracic outlet. Here we describe a complex PSS case in a 43-year-old female who experienced multiple recurrent DVTs and a right-sided hemothorax following two continuous aspiration thrombectomy procedures and a first rib resection. Rapid and complete symptom resolution was achieved with the InThrill Thrombectomy System (Inari Medical), a novel, thrombolytic-free, percutaneous mechanical thrombectomy device that removed all recurrent acute and subacute thrombus in a single session without significant blood loss.

摘要

佩吉特-施罗氏综合征(PSS)是一种上肢深静脉血栓形成(DVT),由胸廓出口处锁骨下静脉的外部压迫引起。本文描述了一例复杂的 PSS 病例,患者为 43 岁女性,在接受两次连续抽吸血栓切除术和第一肋骨切除术后,经历了多次复发性 DVT 和右侧血胸。新型、无溶栓、经皮机械血栓切除术装置 InThrill 血栓切除术系统(Inari Medical)的使用使患者症状迅速完全缓解,该装置在单次治疗中清除了所有复发性急性和亚急性血栓,且无明显失血。

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