欢迎来到天天文库
浏览记录
ID:33434457
大小:65.49 KB
页数:8页
时间:2019-02-25
《血管内介入治疗滤器源性下腔-髂静脉长段阻塞8例》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、血管内介入治疗滤器源性下腔-骼静脉长段阻塞8例施万印陈亮刘长建顾建平南京医科大学附属南京医院(南京市第一医院)介入血管科南京大学医学院附属鼓楼医院血管外科摘要:目的探讨血管内介入治疗滤器源性下腔-骼静脉长段阻塞的可行性和安全性。方法2014年1月至2016年10月采用经皮腔内血管成形术(PTA)和支架植入术治疗8例下腔静脉滤器置入后慢性下腔-骼静脉长段闭塞患者。收集8例患者临床及影像学资料,对血管内介入治疗方法、技术成功率、并发症发生率及随访情况进行统计分析。结果8例患者闭塞段血管均成功开通。7例球囊成形结合植入支架术后即刻造影显示支架位置良好,支架内
2、血流通畅,侧支血管减少;1例球囊成形结合支架植入术后发牛急性支架内血栓形成,经导管直接溶栓2d后复查造影显示支架内血栓完全溶解,血流恢复通畅。术后随访丁3个月,平均(4.7土3.9)个月。至末次随访,8例患者CT及下肢静脉造影均显示支架在位良好,其中3例支架内可见内膜轻度增生,但血流均通畅。结论滤器长期置入可导致慢性下腔-骼静脉长段闭塞。球囊成形及支架植入可有效开通闭塞血管,是一种安全可行的方法。关键词:下腔静脉;骼静脉;滤器;血管内治疗;作者简介:刘长建E-mail:lcj_nj@163.com收稿日期:2016-12-29基金:国家自然科学基金(8
3、1541061)Endovasculartreatmentforfilter-relatedlongsegmentobstruetionofIVCandiliacvein:preliminaryresuItsin8patientsSHIWanyinCHENLiangLIUChangjianGUJianpingDepartmentofVascularandIntervatiorialRadiology,NanjingFirstHospital,NanjingUniversity;Abstract:ObjectiveToevaluatethefeasibi
4、1ityandsafetyofendovascularinterventionforthetreatmentoff订ter-relatedlongsegmentobstructionofIVCandiliacvein.MethodsFromJanuary2014toOctobcr2016,atotalof8patientswithfilter-relatedchroniclongsegmentobstructionofIVCandiliacveinweretreatedwithpercutaneoustranscatheterangioplasty(P
5、TA)andstentimplantation.Theclinicaldataandimagingmaterialswerecollected.Theendovascularinterventionaltreatmentmethodswerediscussed,andthetechnicalsuccessrate,procedure-relatedcomplicationsandfollow-upresultswereanalyzed.ResultsSuccessfulrecanalizationoftheobstructedIVC-iliacvein
6、segmentwasachievedinal18patients.In7patients,angiographyperformedimmediatelyafterPTAandstentimplantationshowedthatthebloodflowinthestentwassmoothandthecollateralvesselsweredecreased.Inonepatient,acutein-stentthrombosisoccurredafterPTAandstentimplantation,thencatheter-directedthr
7、ombolysishadtobeadopted,andangiographyperformed2dayslaterindicatedthatin-stentthrombosiswascompletelydissolvedandthebloodflowresumedsmoothly.Thepatientswerefollowedupfor2-13months,withameanof(4・7±3.9)months.ReexaminationwithbothCTandvenographyoflowerlimbshowedthatthestentwaskept
8、ingoodpositiontothelastvisitinall8patients.Slig
此文档下载收益归作者所有