发育或程序性静脉卡瓦中断和静脉血栓塞栓症:一篇评论
Behnood Bikdeli1,2,3,4, Parham Sadeghipour5,6, Junyang Lou1
1Cardiovascular Medicine Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Seminars in thrombosis and hemostasis
|January 4, 2024
概括
原生或手术性下静脉中断会增加深静脉血栓形成的风险. 现在,静脉膜过器比手术方法更受青,用于预防特定患者群体的肺栓塞.
科学领域:
- 血管外科 血管外科
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
背景情况:
- 下腔静脉 (IVC) 和上腔静脉对于系统性静脉回归到心脏至关重要.
- 静脉的中断,无论是先天的还是程序性的,都可能导致静脉静止,深静脉血栓塞 (DVT) 和肺栓塞 (PE).
研究的目的:
- 审查先天性和程序性静脉中断的原因.
- 分析这些中断对静脉血栓塞栓症 (VTE) 的影响.
主要方法:
- 使用PubMed进行了系统的文献搜索,遵循PRISMA指南.
- 对于缺乏高质量的证据或共识的管理问题,使用了德尔菲方法.
主要成果:
- 下腔静脉发育是最常见的先天性中断,与较高的DVT风险有关,特别是在年轻患者中,双边DVT无法解释.
- 由于风险,很少使用手术静脉中断技术 (绑定,剪切,复合);静脉过器现在是标准的,通常放置在内IVC中.
- 静脉膜过器的主要适应症是急性静脉动脉瘤与抗凝药的禁忌.
结论:
- 了解各种静脉中断类型及其并发症对于尽量减少不良事件至关重要.
- 静脉孔过器是目前程序中断的标准,具有针对静脉孔过器管理的具体指示.
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