摘要
目的探讨综合应用下腔静脉滤器置入术、血管内溶栓术、血栓清除术、血管成形术及内支架置入术治疗髂—股静脉血栓性闭塞的疗效。方法13例髂-股静脉血栓性闭塞患者均先行下腔静脉滤器置入术,10例为永久性滤器,3例为暂时性滤器;滤器置入后依次行血管内溶栓术、血栓清除术、血管成形术和内支架置入术,直至取得满意疗效。结果静脉滤器置入成功率100%。并用血管内溶栓术、血栓清除术及内支架置入术12例闭塞血管再通,临床疗效满意。1例因导丝不能穿过阻塞静脉未进行继续治疗。无严重并发症发生。随访3～13个月,10例置入永久滤器者均无肺梗塞发生。结论下腔静脉滤器置入保证了髂股静脉血栓性疾病治疗的安全性。多种介入技术的综合运用可明显提高疗效。
[Objective ] To evaluate the efficacy of inserting inferior vena caval filter, catheter directed thrombolysis, mechanical thrombectomy, percutaneous transluminal angioplasty（PTA） and stent placement in the treatment of Iliofemoral venous thrombotic occlusion. [Methods] IVC filter was implanted in 13 patients of iliofemoral venous thrombotic occlusion. Permanent filter was used in 10 cases, and temporal Falter in the other. After inserting fiher, catheter directed thrombolysis, mechanical thrombectomy, PTA and stent placement were sequentially performed until satisfactory results are achieved. [ Results] All the filters were placed successfully. By the comprehensive use of catheter directed thrombolysis, mechanical thrombectomy, PTA and stent placement, recanalizafion of the occluded vein and satisfactory results was achieved in 12 of 13 patients. One occluded iliofemoral vein could not be crossed with a guide wire and did not receive further treatment. No severe complication occurred. [Conclusion] The comprehensive use of IVC filter and various interventional technique can improve the safety and effect of the treatment of iliofemoral venous thrombotic occlusion.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第6期909-911,共3页
China Journal of Modern Medicine
关键词
髂股静脉
血栓性闭塞
介入性
放射学
Iliofemoral vein
Thrombotic occlusion
Interventional
Radiology
