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下腔静脉重建以缓解背痛。

Inferior vena cava reconstruction to alleviate back pain.

作者信息

Hsu Angel, Segal Michael S, Addis Michael

机构信息

Department of General Surgery, Rutgers New Jersey Medical School, Newark, NJ.

Department of Vascular Surgery, Cooperman Barnabas Medical Center, Livingston, NJ.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Jan 29;10(3):101439. doi: 10.1016/j.jvscit.2024.101439. eCollection 2024 Jun.

DOI:10.1016/j.jvscit.2024.101439
PMID:38510097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10951514/
Abstract

We present the case of a 38-year-old man with end-stage renal disease receiving hemodialysis via a left femoral loop graft who developed debilitating back pain. During a maintenance fistulogram, we found a completely occluded inferior vena cava and engorged lumbar veins. The patient underwent inferior vena cava reconstruction with stenting, which resulted in complete resolution of the engorged lumbar veins on venography and a significant reduction in his back pain. Engorgement of the lumbar veins can cause significant pain, and treatment of the underlying pathology can alleviate these symptoms.

摘要

我们报告了一例38岁的终末期肾病男性患者，其通过左股静脉袢式移植物进行血液透析，出现了使人衰弱的背痛。在一次维持性动静脉内瘘造影检查中，我们发现下腔静脉完全闭塞且腰静脉充血。该患者接受了下腔静脉支架重建术，这使得静脉造影显示腰静脉充血完全消退，并且他的背痛显著减轻。腰静脉充血可引起严重疼痛，治疗潜在病因可缓解这些症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc5/10951514/3c52e5a6823e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc5/10951514/050438cd6e57/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc5/10951514/bdd19dcd9c15/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc5/10951514/3c52e5a6823e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc5/10951514/050438cd6e57/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc5/10951514/bdd19dcd9c15/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc5/10951514/3c52e5a6823e/gr3.jpg

相似文献

1
Inferior vena cava reconstruction to alleviate back pain.下腔静脉重建以缓解背痛。
J Vasc Surg Cases Innov Tech. 2024 Jan 29;10(3):101439. doi: 10.1016/j.jvscit.2024.101439. eCollection 2024 Jun.
2
Epidural venous plexus enlargements presenting with radiculopathy and back pain in patients with inferior vena cava obstruction or occlusion.下腔静脉阻塞或闭塞患者出现神经根病和背痛时的硬膜外静脉丛扩大。
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本文引用的文献

1
Patency and Clinical Outcome After Stent Placement for Chronic Obstruction of the Inferior Vena Cava.支架置入治疗下腔静脉慢性阻塞的通畅率和临床转归。
Eur J Vasc Endovasc Surg. 2017 Nov;54(5):620-628. doi: 10.1016/j.ejvs.2017.07.003. Epub 2017 Aug 7.
2
A Review of Open and Endovascular Treatment of Superior Vena Cava Syndrome of Benign Aetiology.良性病因导致的上腔静脉综合征的开放治疗与血管腔内治疗综述
Eur J Vasc Endovasc Surg. 2017 Feb;53(2):238-254. doi: 10.1016/j.ejvs.2016.11.013. Epub 2016 Dec 19.
3
Inferior Vena Cava Thrombosis.
下腔静脉血栓形成。
JACC Cardiovasc Interv. 2016 Apr 11;9(7):629-43. doi: 10.1016/j.jcin.2015.12.268. Epub 2016 Mar 4.
4
Patients with inferior vena cava thrombosis frequently present with lower back pain and bilateral lower-extremity deep vein thrombosis.下腔静脉血栓形成的患者常表现为下背部疼痛和双侧下肢深静脉血栓形成。
Vasa. 2013 Jul;42(4):275-83. doi: 10.1024/0301-1526/a000288.
5
A very rare cause of low-back pain and sciatica: deep vein thrombosis due to absence of the inferior vena cava mimicking the clinical and radiological signs of lumbar disc herniation.一种非常罕见的腰痛和坐骨神经痛原因：下腔静脉缺如导致的深静脉血栓形成，其临床表现和影像学征象类似于腰椎间盘突出症。
J Neurosurg Spine. 2011 Aug;15(2):164-7. doi: 10.3171/2011.4.SPINE10636.
6
Endovascular stenting of ascending lumbar veins for refractory inferior vena cava occlusion.经血管腔内支架置入术治疗难治性下腔静脉阻塞的腰升静脉支架置入术
J Vasc Surg. 2006 Oct;44(4):879-81. doi: 10.1016/j.jvs.2006.05.050.
7
Low back pain as the initial symptom of inferior vena cava agenesis.以下腰痛为首发症状的下腔静脉发育不全
AJNR Am J Neuroradiol. 2006 Mar;27(3):593-5.
8
Epidural venous plexus enlargements presenting with radiculopathy and back pain in patients with inferior vena cava obstruction or occlusion.下腔静脉阻塞或闭塞患者出现神经根病和背痛时的硬膜外静脉丛扩大。
Spine (Phila Pa 1976). 2004 Nov 1;29(21):2419-24. doi: 10.1097/01.brs.0000144354.36449.2f.