de Graaf Rick, Estler Arne, Grözinger Gerd
Department of Diagnostic and Interventional Radiology, Clinic of Friedrichshafen, Friedrichshafen, Germany.
Department of Diagnostic and Interventional Neuroradiology, University Hospital Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.
Cardiovasc Intervent Radiol. 2024 Dec;47(12):1616-1625. doi: 10.1007/s00270-024-03867-x. Epub 2024 Sep 24.
Obstructions of the superior and inferior vena cava are prevalent etiologies of deep venous obstruction, presenting a spectrum of clinical manifestations ranging from life-threatening conditions to asymptomatic states. The etiological diversity inherent to these central venous obstructions necessitates a subtle approach to their diagnosis and management. This discrepancy in clinical presentations emphasizes the importance of a differentiated diagnostic and therapeutic strategy, tailored to the specific form of vena cava obstruction encountered. This article aims to delineate the various manifestations of vena cava obstruction and encourages specific diagnostic and treatment pathways.
上腔静脉和下腔静脉阻塞是深静脉阻塞的常见病因,可呈现出从危及生命的情况到无症状状态的一系列临床表现。这些中心静脉阻塞所固有的病因多样性使得对其诊断和管理需要采取细致入微的方法。临床表现的这种差异凸显了针对所遇到的特定形式腔静脉阻塞制定差异化诊断和治疗策略的重要性。本文旨在阐述腔静脉阻塞的各种表现,并倡导特定的诊断和治疗途径。