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[May-Thurner综合征后近端深静脉血栓形成的成功血管内治疗]

[Successful endovascular treatment of proximal deep vein thrombosis following May-Thurner syndrome].

作者信息

Sukovatykh B S, Sapelkin S V, Sereditsky A V, Muradyan V F, Sukovatykh M B, Lapinas A A

机构信息

Kursk State Medical University, Kursk, Russia.

Vishnevsky National Medical Research Center of Surgery, Moscow, Russia.

出版信息

Khirurgiia (Mosk). 2024(9):99-105. doi: 10.17116/hirurgia202409199.

Abstract

We present two clinical cases of successful endovascular treatment of proximal deep vein thrombosis following May-Thurner syndrome. In the first case, 2-day regional catheter thrombolysis, percutaneous mechanical thrombectomy and venous stenting were required to restore hemodynamics in the left lower limb. In the second case, regional catheter thrombolysis continued for 3 days with subsequent thrombotic mass lysis. However, iliac vein was severely narrowed that required venous stenting. Long-term results were favorable in both cases. Venous outflow has become almost normal after endovascular treatment. The patients' ability to work has been restored.

摘要

我们展示了两例成功采用血管内治疗方法治疗May-Thurner综合征所致近端深静脉血栓形成的临床病例。在第一例中,需要进行为期2天的局部导管溶栓、经皮机械性血栓清除术和静脉支架置入术,以恢复左下肢的血流动力学。在第二例中,局部导管溶栓持续了3天,随后血栓块溶解。然而,髂静脉严重狭窄,需要进行静脉支架置入术。两例患者的长期治疗效果均良好。血管内治疗后静脉流出道几乎恢复正常。患者的工作能力也已恢复。

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