Bravo S M, Reinhart R D, Meyerovitz M F
Department of Radiology, Brigham and Women's Hospital, Boston, MA 02118, USA.
Vasc Med. 1998;3(1):61-6. doi: 10.1177/1358836X9800300113.
Percutaneous procedures by interventional radiologists are becoming an increasingly frequent part of the overall care of patients with complex venous thrombotic diseases. Inferior vena caval filters are used in the setting of failed or contraindicated anticoagulation. Catheter-directed thrombolysis is considered for patients with extensive iliofemoral deep venous thrombosis. Venous angioplasty is often indicated for patients with dialysis shunt venous stenoses, upper extremity venous stenoses and for stenoses within venous bypass grafts. Venous stenting is often employed following angioplasty to ensure long-term procedural success. Finally, suction and mechanical thrombectomy and embolectomy are relatively new procedures that are available to optimize patient management.
介入放射科医生实施的经皮手术正日益频繁地成为复杂静脉血栓性疾病患者整体治疗的一部分。下腔静脉滤器用于抗凝治疗失败或有禁忌的情况。对于广泛的髂股深静脉血栓形成患者，考虑进行导管定向溶栓治疗。静脉血管成形术常用于透析分流静脉狭窄、上肢静脉狭窄以及静脉搭桥移植物内狭窄的患者。血管成形术后常采用静脉支架置入术以确保手术的长期成功。最后，抽吸和机械性血栓切除术及栓子切除术是可用于优化患者管理的相对较新的手术。
