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深静脉支架置入术的并发症及其处理

Complications of Deep Venous Stenting and Their Management.

作者信息

Morris Rachael I, Khan Taha, Black Stephen A

机构信息

Academic Department of Vascular Surgery, School of Cardiovascular and Metabolic Medicine and Sciences, King's College London, St Thomas' Hospital, 1st Floor North Wing, Westminster Bridge Road, London, SE1 7EH, UK.

出版信息

Cardiovasc Intervent Radiol. 2024 Dec;47(12):1669-1676. doi: 10.1007/s00270-024-03853-3. Epub 2024 Nov 4.

Abstract

Complications after iliofemoral and inferior vena cava stenting are rare, and most can be managed effectively without significant long-term consequences for the patient. Nevertheless, the procedure is not without risk, and clinicians considering starting a venous practice must be aware of the range of complications that can occur, which range from minor access site bleeds to fatal arrhythmia from stent migration to the heart. Most complications can be avoided with appropriate patient selection, stent sizing, and careful access and deployment techniques.

摘要

髂股静脉和下腔静脉支架置入术后的并发症很少见,大多数情况下可得到有效处理,不会给患者带来严重的长期后果。然而,该手术并非毫无风险,考虑开展静脉介入治疗的临床医生必须了解可能出现的一系列并发症,从轻微的穿刺部位出血到支架移位至心脏导致的致命性心律失常。通过恰当的患者选择、支架尺寸确定以及仔细的穿刺和置入技术,大多数并发症是可以避免的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5956/11621186/fd33254423e5/270_2024_3853_Fig1_HTML.jpg

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