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一名患有盆腔马蹄肾的患者发生髂股腘深静脉血栓形成,经局部静脉溶栓治疗和静脉支架置入术成功治愈。

Iliofemoropopliteal deep vein thrombosis in a patient with a pelvic horseshoe kidney treated successfully with local intravenous lysis therapy and venous stenting.

作者信息

Walensi Mikolaj, Abdelrahman Basem, Drongitis Pavlos, Nassenstein Kai, Marei Abdalla, Hoffmann Johannes N

机构信息

CONTILIA Group, Heart and Vascular Center, Department of Vascular Surgery and Phlebology, Elisabeth Hospital Essen, Essen, Germany.

Department of Vascular Surgery, Marien Hospital Witten, Witten, Germany.

出版信息

J Vasc Surg Cases Innov Tech. 2025 Jul 7;11(5):101904. doi: 10.1016/j.jvscit.2025.101904. eCollection 2025 Oct.

DOI:10.1016/j.jvscit.2025.101904
PMID:40799768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12341693/
Abstract

Horseshoe kidney (HSK) is a rare disorder and may be associated with several vascular complications. A 46-year-old female patient with a pelvic HSK suffered a deep vein thrombosis of the left popliteal, femoral, and iliac veins. Lysis therapy, followed by balloon angioplasty and stent implantation in the iliac vein, was performed, significantly improving the patient's symptoms. Endovascular therapies such as lysis therapy and stent implantation may result in excellent therapeutic outcomes for deep vein thrombosis caused by an HSK, sparing the patient extensive surgical procedures on the venous system and, at the same time, reducing the risk of a post-thrombotic syndrome.

摘要

马蹄肾(HSK)是一种罕见的疾病,可能伴有多种血管并发症。一名46岁患有盆腔马蹄肾的女性患者发生了左侧腘静脉、股静脉和髂静脉的深静脉血栓形成。进行了溶栓治疗,随后在髂静脉进行了球囊血管成形术和支架植入术,显著改善了患者的症状。诸如溶栓治疗和支架植入等血管内治疗对于马蹄肾引起的深静脉血栓形成可能会产生极佳的治疗效果,使患者无需在静脉系统上进行广泛的外科手术,同时降低血栓后综合征的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ae0/12341693/1f30d274fae3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ae0/12341693/cef827d0185e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ae0/12341693/1f30d274fae3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ae0/12341693/cef827d0185e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ae0/12341693/1f30d274fae3/gr2.jpg

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本文引用的文献

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Giant left pheochromocytoma with vascular anomalies and pelvic horseshoe kidney: a case report.巨大左嗜铬细胞瘤伴血管异常和盆腔马蹄肾:病例报告。
BMC Urol. 2023 Dec 8;23(1):204. doi: 10.1186/s12894-023-01370-y.
2
Wilms tumor in horseshoe kidney with extensive vascular thrombosis: A case report.马蹄肾合并广泛血管血栓形成的肾母细胞瘤:一例报告。
Int J Surg Case Rep. 2023 Nov;112:108951. doi: 10.1016/j.ijscr.2023.108951. Epub 2023 Oct 10.
3
Technique of stent sizing in patients with symptomatic chronic iliofemoral venous obstruction-the case for intravascular ultrasound-determined inflow channel luminal area-based stenting and associated long-term outcomes.
有症状的慢性髂股静脉阻塞患者的支架尺寸确定技术——基于血管内超声测定流入道管腔面积的支架置入情况及相关长期预后
J Vasc Surg Venous Lymphat Disord. 2023 May;11(3):634-641. doi: 10.1016/j.jvsv.2022.12.067. Epub 2023 Jan 31.
4
Venous stent patency is independent of total stented length in nonthrombotic iliac vein and post-thrombotic venous stenoses.在非血栓形成的髂静脉和血栓形成后的静脉狭窄中,静脉支架通畅性与支架置入的总长度无关。
J Vasc Surg Venous Lymphat Disord. 2023 Mar;11(2):339-345. doi: 10.1016/j.jvsv.2022.07.006. Epub 2022 Aug 23.
5
Improvement following restoration of inline flow argues against comprehensive thrombus removal strategies and for selective stenting in acute symptomatic iliofemoral venous thrombosis.恢复直线血流后得到改善,这表明综合血栓清除策略并不合理,而在急性有症状髂股静脉血栓形成中应选择支架置入。
J Vasc Surg Venous Lymphat Disord. 2023 Jan;11(1):119-126. doi: 10.1016/j.jvsv.2022.06.017. Epub 2022 Aug 9.
6
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BMC Surg. 2022 Jul 12;22(1):269. doi: 10.1186/s12893-022-01714-9.
7
Recurrent deep venous thrombosis of lower extremities as a result of compression of large horseshoe kidney cysts in double inferior vena cava - Successfully treatment with sclerotherapy.下肢反复性深部静脉血栓形成,源于双下腔静脉大马蹄形肾囊肿压迫——采用硬化疗法成功治疗。
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