内血管血栓切除术用于急性阴腹腔深静脉血栓通过旋转装置的状方法治疗
Frederic Thony1, Jean-Marc Pernes2, Caroline Menez3
1University Grenoble Alpes, Department of Imaging and Interventional Radiology, CHU Grenoble Alpes, Grenoble, France. fthony@chu-grenoble.fr.
Cardiovascular and interventional radiology
|August 18, 2023
概括
药物机械导管导向血栓溶解 (PCDT) 有效地治疗急性阴骨深静脉血栓症 (DVT),使用静脉方法和缓慢旋转装置 (SRD). 这种方法可以实现高静脉通透率和低血栓后综合征率.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 血栓形成的管理
背景情况:
- 急性骨上垂体深静脉血栓症 (DVT) 具有重大风险,包括血栓后综合征 (PTS).
- 药物机械导管导向血栓溶解 (PCDT) 为广泛的DVT提供了一种最小侵入性的治疗选择.
- 优化PCDT技术对于改善患者治疗结果至关重要.
研究的目的:
- 为了评估PCDT对急性阴茎侧静脉瘤的有效性.
- 用慢旋转和大尖端装置 (SRD) 的关静脉方法来评估结果.
- 为了确定长期的静脉通透性和PTS的发病率.
主要方法:
- 分析了在2011-2021年期间接受治疗的277名 iliofemoral DVT 患者的队列.
- 通过静脉进行PCDT,涉及碎片-纤维化解,吸血和随意的血管整形术.
- 结果包括剩余的血栓负荷,通过双重超声扫描的静脉通透性,以及使用维拉拉塔评分的PTS率.
主要成果:
- 96.1%的患者在术后获得了<10%的残留血栓负荷.
- 大和小并发症的发生率分别为1.8%和4%;一个PE相关的死亡率 (0.4%).
- 在24个月的随访中位数,初级和二级的 iliofemoral通透率分别为89.6%和95.8%;PTS率为13.8%在12个月.
结论:
- 通过关静脉进行PCDT与SRD是一种有效的治疗急性 iliofemoral DVT.
- 该程序显示了高的长期静脉通透性和低的血栓后综合征率.
- 这种方法代表了一种有价值的选择,用于管理急性 iliofemoral DVT.
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