Lichtenberg Michael, Jalaie Houman
Klinik für Angiologie, Klinikum Hochsauerland, Stolte Ley 5, 59759, Arnsberg-Hüsten, Deutschland.
Klinik für Gefäßchirurgie, Universitätsklinikum Aachen, Aachen, Deutschland.
Inn Med (Heidelb). 2025 Mar;66(3):283-289. doi: 10.1007/s00108-025-01853-0. Epub 2025 Feb 21.
Chronic venous obstructions frequently lead to a substantial reduction in the quality of life of affected patients and as a result to a burden on the healthcare system. Endovascular recanalization and stent implantation of iliofemoral venous obstructions are successful minimally invasive approaches; however, there are still open questions with respect to patient selection, technical procedures and long-term results. This review article summarizes the current state of knowledge on the interventional treatment of postthrombotic syndrome (PTS), particularly on the development of endovascular procedures and stent implantation. Criteria for the patient selection, details of the procedure and the characteristics of special venous stents are discussed.
慢性静脉阻塞常常导致受影响患者的生活质量大幅下降,进而给医疗系统带来负担。髂股静脉阻塞的血管腔内再通和支架植入是成功的微创方法;然而,在患者选择、技术操作和长期结果方面仍存在一些未解决的问题。这篇综述文章总结了关于血栓形成后综合征(PTS)介入治疗的当前知识状态,特别是血管腔内手术和支架植入的发展。讨论了患者选择标准、手术细节以及特殊静脉支架的特点。