摘要
目的：探讨应用双股静脉入路血管腔内技术治疗左髂-股静脉血栓（LI-FVT）的有效性。方法左下肢深静脉急性血栓，先经右侧股静脉置入下腔静脉滤器，向左侧髂静脉逆行插管；对逆行插管失败的患者，行左侧股静脉穿刺插管，顺行开通左侧股-髂静脉至下腔静脉内。对血栓闭塞段应用溶栓导管（OASIS）持续接触性溶栓3～4 d，对溶栓后髂股静脉流出道明显狭窄者，行球囊扩张支架植入术。结果12例经双股静脉入路治疗者，10例技术成功，均取得明显的疗效，表现为患肢肿胀迅速消退，疼痛消失，肢体松软，活动恢复正常；1例行球囊扩张支架植入术；另外2例未成功置管改行经左小隐静脉置管持续溶栓术。术后随访3～9个月，平均6.6个月，无症状性复发及肺栓塞。结论双股静脉入路治疗I-FVT,成功率高、安全、创伤小临床应用可行。
Objective To evaluate the efficiency of endovascular of iliac-femoral venous thrombus（I-FVT） via double femoral veins. Methods Twelve patients with I-FVT were treated with implantation of inferior vena caval filter,ten patients treated with OASIS catheter via double femoral veins. After operation,the catheter was kept in iliac-femoral veins for three to four days. Some patients were treated with balloon-directed extend and one was stented. Results The endovascular was successful in ten patients. Swollen symptom of lower limb and pain disappeared in those patients. The treatment was fail in two patient. Follow-up study showed no pulmonary embolization or recrudescence in all twelve patients. Conclusion The endovascular of I-FVT via double femoral veins is a safe and minimally-invasive with higher success rate technique.
出处
《当代医学》
2014年第1期96-98,共3页
Contemporary Medicine
关键词
介入放射学
髂股静脉血栓
下肢
入路
Interventional radiology
Iliac-femoral venous thrombus
Lower limb
Approach
