Jreij Georges, Furtmüller Georg J, Dunlap Eleanor, Nagarsheth Khanjan
Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
J Vasc Surg Cases Innov Tech. 2025 May 24;11(4):101862. doi: 10.1016/j.jvscit.2025.101862. eCollection 2025 Aug.
Long-standing venous thrombosis can result in chronic venous occlusions, ultimately leading to chronic venous insufficiency and venous ulcerations, a condition known as post-thrombotic syndrome. Venous ulcerations alone impose a significant financial burden and worsen individuals' quality of life. Current management of deep venous occlusions has focused on endovascular approaches. However, in the cases where these interventions fail, a venous bypass surgery may be considered as an alternative. We present three cases of chronically occluded venous bypasses that underwent successful thrombectomy using RevCore (Inari Medical), a new thrombectomy device designed to treat in-stent thrombosis.
长期的静脉血栓形成可导致慢性静脉阻塞，最终导致慢性静脉功能不全和静脉溃疡，这种情况称为血栓形成后综合征。仅静脉溃疡就会带来巨大的经济负担，并使个人生活质量下降。目前对深静脉阻塞的治疗主要集中在血管内治疗方法上。然而，在这些干预措施失败的情况下，可考虑进行静脉搭桥手术作为替代方案。我们报告了三例慢性闭塞性静脉搭桥手术的病例，这些病例使用RevCore（Inari Medical公司）成功进行了血栓切除术，RevCore是一种用于治疗支架内血栓形成的新型血栓切除装置。
