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非血栓性髂静脉压迫性病变的血管腔内治疗 被引量:11
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作者 王翔 陈国君 +3 位作者 洪毅 周斌 葛进 李钦传 《同济大学学报(医学版)》 CAS 2017年第5期58-62,共5页
目的回顾性分析单中心腔内治疗非血栓性髂静脉压迫病变(nonthrombotic iliac vein compression lesion,NIVCL)的可行性、有效性及安全性。方法收集2011年2月至2015年6月收治3 423例下肢静脉功能不全,其中NIVCL 107例,腔内治疗89例。在... 目的回顾性分析单中心腔内治疗非血栓性髂静脉压迫病变(nonthrombotic iliac vein compression lesion,NIVCL)的可行性、有效性及安全性。方法收集2011年2月至2015年6月收治3 423例下肢静脉功能不全,其中NIVCL 107例,腔内治疗89例。在腔内治疗的89例中,男48例,女41例,年龄30~73岁,平均(55.9±10.1)岁;左下肢68例,右下肢17例,双下肢4例。手术均采用经患肢股静脉穿刺行髂静脉受压段球囊扩张联合支架植入术,对其中83例合并浅静脉曲张者行大隐静脉高位结扎剥脱术。结果手术成功率100%;术后随访14~48个月,平均15.7个月,支架一期通畅率100%。随访期间,患肢肿胀缓解率89.0%(73/82),溃疡治愈率94.1%(16/17),疼痛缓解率82.6%(19/23)。1例术后1年出现浅静脉曲张复发,再次行硬化剂治疗后静脉曲张消失;另1例术后3月出现血栓性浅静脉炎,予抗凝、抗感染治疗后痊愈。无深静脉血栓形成及介入治疗相关并发症。结论血管腔内治疗NIVCL安全有效,在疾病进展至血栓形成前早期诊治NIVCL是切实可行的。 展开更多
关键词 血管腔内治疗 支架 髂静脉受压综合征 血管成形术 may-thumer综合征
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Current Status and Prospect of Stent Placement for May-Thurner Syndrome 被引量:3
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作者 Qin LIU Fang LIU +4 位作者 Ping LÜ Hong-xiao WU Pin YE Yun YOU Zhong YAO 《Current Medical Science》 SCIE CAS 2021年第6期1178-1186,共9页
Stent implantation has been proven to be safe and has become the first-line intervention for May-Thumer syndrome(MTS),with satisfactory mid-term patency rates and clinical outcomes.Recent research has demonstrated tha... Stent implantation has been proven to be safe and has become the first-line intervention for May-Thumer syndrome(MTS),with satisfactory mid-term patency rates and clinical outcomes.Recent research has demonstrated that catheter-directed thrombolysis is the preferred strategy when MTS is combined with deep vein thrombosis after self-expanding stent placement.However,the stent used for the venous system was developed based on the experience obtained in the treatment of arterial disease.Consequently,relatively common corresponding complications may come along later,which include stent displacement,deformation,and obstruction.Different measures such as adopting a stent with a larger diameter,improving stent flexibility,and increasing stent strength have been employed in order to prevent these complications.The ideal venous stent is presently being evaluated and will be introduced in detail in this review. 展开更多
关键词 may-thumer syndrome deep vein thrombosis post-thrombotic syndromes STENT stent placement
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