Berger A, Jaffe J W, York T N
Department of Vascular Surgery, Lehigh Valley Hospital, Allentown, PA 18103.
J Vasc Surg. 1995 Mar;21(3):510-4. doi: 10.1016/s0741-5214(95)70295-4.
Iliac compression syndrome is usually diagnosed during the third and fourth decades of life when the patient has iliofemoral deep vein thrombosis. Catheter-directed thrombolytic therapy is an accepted method of treatment for iliofemoral deep vein thrombosis, which has been reported to afford greater success with clot dissolution than with system therapy. Although this method is not new, this is the first case, to our knowledge, reporting successful treatment of computerized tomographically demonstrated iliac compression syndrome with stent placement after lysis and insufficient response to balloon angioplasty.
髂静脉压迫综合征通常在患者出现髂股深静脉血栓形成的三四十岁时被诊断出来。导管定向溶栓治疗是治疗髂股深静脉血栓形成的一种公认方法，据报道，与全身治疗相比，这种方法在溶解血栓方面取得了更大的成功。尽管这种方法并不新鲜，但据我们所知，这是首例报告通过放置支架成功治疗计算机断层扫描显示的髂静脉压迫综合征的病例，该患者在溶栓后对球囊血管成形术反应不足。
