患有下静脉卡瓦过器的患者的光线变化和慢性静脉疾病的发展
Nicholas Moehringer1, Ryan Smolarsky1, Ashna Raiker1
1Stony Brook Medicine, Stony Book University, Stony Brook, NY.
Annals of vascular surgery
|July 16, 2023
概括
下腔静脉 (IVC) 过器的放置可能会导致静脉永久收窄,导致慢性静脉疾病症状. 早期识别和及时检索过器对于管理这些并发症至关重要.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 心脏病学 心脏病学
背景情况:
- 下腔静脉 (IVC) 过器用于预防肺栓塞.
- 过器的放置可能会导致IVC和阴道静脉的光变.
- 这些变化可能会导致慢性静脉疾病 (CVD) 的迹象和症状.
研究的目的:
- 在IVC过器放置后,分析状静脉的光变化.
- 评估这些变化对心血管疾病发展的影响.
- 评估对过器管理的影响.
主要方法:
- 对使用IVC过器并随后发生光变的患者进行了回顾性观察性研究.
- 使用CT扫描,超声波,静脉谱和血管内超声波 (IVUS).
- 测量了IVC和阴静脉直径;使用CEAP分类来评估心血管疾病.
主要成果:
- 在76名患者中,66名患者经历了IVC或阴道静脉封闭.
- 所有患者都表现出IVC光线变化;58人患有血栓后变化.
- 常见的症状包括四肢胀,静脉和皮肤损伤.
结论:
- IVC过器的放置会导致永久的光变化,往往导致心血管疾病.
- 建议及时检索过器以减轻并发症.
- 内静脉手术可以有效地治疗受影响患者的症状.
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