Buelens C, Vandenbosch G, Stockx L, Raat H, Lacroix R, Verhaeghe R, Wilms G, Baert A L
Dienst Radiologie, Universitaire Ziekenhuizen K.U.L., Leuven, België.
J Belge Radiol. 1996 Jun;79(3):132-5.
Intimal hypertrophy with venous spur formation caused by compression of the left common iliac vein by the right common iliac artery is advanced as the etiology of the higher incidence of deep venous thrombosis involving the left leg. In most cases of left iliofemoral thrombosis no underlying compression syndrome is detected or treated because the left common iliac vein has to be cleared from thrombi before compression can be identified. A series of 6 consecutive retrospectively analyzed patients with acute left iliofemoral thrombosis is presented. In these patients a left iliac vein compression syndrome was detected after percutaneous intraluminal thrombolysis with Actilyse (rt-PA). This compression was successfully relieved by insertion of a wall stent. Percutaneous treatment of Cockett's syndrome seems an attractive alternative for conservative and/or surgical management.
右髂总动脉压迫左髂总静脉导致的内膜增生伴静脉嵴形成，被认为是左腿深静脉血栓形成发生率较高的病因。在大多数左髂股静脉血栓形成的病例中，未检测到或未治疗潜在的压迫综合征，因为在识别压迫之前必须清除左髂总静脉内的血栓。本文报告了连续6例急性左髂股静脉血栓形成患者的回顾性分析。在这些患者中，使用阿替普酶（rt-PA）进行经皮腔内溶栓后检测到左髂静脉压迫综合征。通过植入壁式支架成功缓解了这种压迫。对于保守和/或手术治疗，经皮治疗科克特综合征似乎是一种有吸引力的替代方法。
