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两例患者髂静脉再通及支架置入术后出现髂动脉闭塞

Iliac Artery Occlusion Following Iliac Vein Recanalization and Stenting in Two Patients.

作者信息

Pennix Thomas, Metwalli Zayed, Habibollahi Peiman

机构信息

UT Health Science Center at Houston, Houston, TX, USA.

MD Anderson Cancer Center, Houston, TX, USA.

出版信息

Vasc Endovascular Surg. 2025 Jul;59(5):554-561. doi: 10.1177/15385744251327018. Epub 2025 Mar 21.

DOI:10.1177/15385744251327018
PMID:40116320
Abstract

Ileocaval venous thrombosis and outflow obstruction is a condition with many possible causes that typically presents with symptoms related to venous congestion or insufficiency. Recent device development and availability of endovascular stenting and venoplasty for lifestyle-limiting symptoms refractory to conservative management has led to increased interest in these procedures. While several common complications of venous stent placement have been well-described, 1 uncommon and emergent complication is nearby arterial compression or occlusion. Here we present 2 cases of iliac artery occlusion occurring after iliac venous recanalization and stenting, and discuss possible factors that may contribute to this uncommon complication.

摘要

回腔静脉血栓形成和流出道梗阻是一种有多种可能病因的疾病,通常表现为与静脉充血或功能不全相关的症状。近期针对保守治疗无效的、限制生活方式的症状,血管内支架置入术和静脉成形术的器械研发及应用,引发了人们对这些手术的更多关注。虽然静脉支架置入的几种常见并发症已得到充分描述,但一种罕见的紧急并发症是附近动脉受压或闭塞。在此,我们报告2例髂静脉再通和支架置入术后发生髂动脉闭塞的病例,并讨论可能导致这种罕见并发症的因素。

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本文引用的文献

1
Extrinsic arterial compression and lower extremity ischemia after iliac vein stent placement: case report, review of literature.髂静脉支架置入术后的外在动脉压迫与下肢缺血:病例报告及文献综述
CVIR Endovasc. 2023 Mar 7;6(1):11. doi: 10.1186/s42155-023-00358-x.
2
Acute Limb Arterial Ischemia Following Iliac Vein Stenting in the Setting of a Frozen Pelvis.髂静脉支架置入术后并发急性肢体动脉缺血:冰冻骨盆病例报告
Vasc Endovascular Surg. 2022 Nov;56(8):797-801. doi: 10.1177/15385744221084148. Epub 2022 Aug 3.
3
Arterial Occlusion after Ipsilateral Venous Stent Placement for Iliac Venous Obstruction Secondary to Tumor Compression.
J Vasc Interv Radiol. 2021 Oct;32(10):1501-1503. doi: 10.1016/j.jvir.2021.06.012. Epub 2021 Jun 25.
4
Extrinsic compression of the right external iliac artery secondary to iliac vein stenting.髂静脉支架置入术后继发右髂外动脉外部受压
J Surg Case Rep. 2021 May 17;2021(5):rjab193. doi: 10.1093/jscr/rjab193. eCollection 2021 May.
5
Right Common Iliac Artery Compression after Left Common Iliac Vein Stent Placement.
J Vasc Interv Radiol. 2020 Mar;31(3):528-530. doi: 10.1016/j.jvir.2019.10.002. Epub 2020 Jan 29.
6
A systematic review of venous stents for iliac and venacaval occlusive disease.髂静脉和腔静脉闭塞性疾病的静脉支架的系统评价。
J Vasc Surg Venous Lymphat Disord. 2020 Jan;8(1):145-153. doi: 10.1016/j.jvsv.2019.08.015. Epub 2019 Nov 5.