治疗静脉血栓栓塞的侵入性方法
Peter Augustinos1, Kenneth Ouriel
1Department of Vascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Circulation
|September 2, 2004
概括
深静脉血栓症 (DVT) 每年影响数十万人. 通过各种血栓切除方法恢复静脉通透性对于预防长期并发症,如血栓后综合征至关重要.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 血液学 血液学 血液学
背景情况:
- 深静脉血栓症 (DVT) 在美国每年影响超过25万个人,导致严重的残疾.
- 靠近阴茎侧垂体DVT可能导致肺栓塞和慢性静脉功能不充分.
- 单靠抗凝药通常无法恢复静脉通透性,导致血栓后综合征.
研究的目的:
- 审查目前在DVT中恢复静脉通透性的策略.
- 评估不同血栓切除术方式的好处和局限性.
- 强调保护膜功能的重要性,以预防血栓形成后并发症.
主要方法:
- 对开放的外科血栓切除术,药理性血栓溶解和皮肤间机械血栓切除术的审查.
- 通过皮肤进行的组合技术 (血栓溶解,机械血栓切除,支架) 的讨论.
- 分析患者选择和手术血栓切除术的不断发展的技术.
主要成果:
- 开放式手术血栓切除正在重新获得在选择急性DVT病例中的作用.
- 穿皮技术,通常在组合中使用,提供更好的凝块负担分辨率.
- 没有一种单一的方法可以保证完整的静脉通透性恢复.
结论:
- 对临床医生来说,熟悉所有可用的DVT治疗选择是必不可少的.
- 恢复静脉通透性和维护膜功能是最大限度地减少血栓后综合征的关键.
- 多种模式的穿皮方法显示出更好的DVT结果的前景.
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