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May-Thurner综合征血管内介入治疗后的支架移位

Stent Migration Following Endovascular Intervention in May-Thurner Syndrome.

作者信息

Steck Dominick, Keshavamurthy Suresh, Kumar Akshay, Lyden Sean, Roselli Eric

机构信息

Surgery, University of Washington School of Medicine, Seattle, USA.

Cardiothoracic Surgery, University of Kentucky, Lexington, USA.

出版信息

Cureus. 2022 Sep 28;14(9):e29714. doi: 10.7759/cureus.29714. eCollection 2022 Sep.

DOI:10.7759/cureus.29714
PMID:38348159
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10860737/
Abstract

Developments in endovascular therapies have made stenting a common practice in the treatment of peripheral vascular diseases, including venous disorders such as May-Thurner syndrome. The placement of a stent in the venous system carries the risk of stent migration which although small occurs with a 3% incidence rate and can be life-threatening given the risk of pulmonary infarction, tricuspid regurgitation, and right-sided heart failure. Herein we report a case of stent embolization from the common iliac vein into the right side of the heart causing tricuspid regurgitation. After the failure of percutaneous approach to retrieve the stent, it was successfully removed using a minimally invasive right thoracotomy approach along with repair of the tricuspid valve.

摘要

血管内治疗的发展使支架置入术成为治疗外周血管疾病（包括诸如梅-图二氏综合征等静脉疾病）的常见做法。在静脉系统中放置支架存在支架移位的风险，尽管这种风险很小，发生率为3%，但鉴于存在肺梗死、三尖瓣反流和右侧心力衰竭的风险，可能会危及生命。在此，我们报告一例髂总静脉支架栓塞至心脏右侧导致三尖瓣反流的病例。经皮取支架方法失败后，通过微创右胸切开术成功取出支架，并修复了三尖瓣。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3014/10860737/312a4b41585e/cureus-0014-00000029714-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3014/10860737/dbf6a2e5341e/cureus-0014-00000029714-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3014/10860737/e625ec7b879f/cureus-0014-00000029714-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3014/10860737/312a4b41585e/cureus-0014-00000029714-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3014/10860737/dbf6a2e5341e/cureus-0014-00000029714-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3014/10860737/e625ec7b879f/cureus-0014-00000029714-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3014/10860737/312a4b41585e/cureus-0014-00000029714-i03.jpg

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本文引用的文献

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Iliac vein compression in an asymptomatic patient population.无症状患者群体中的髂静脉受压情况。
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