[对上肢深静脉血栓的内血管治疗]
B S Sukovatykh1, A V Sereditsky2, V F Muradyan2
1Kursk State Medical University, Kursk, Russia.
Khirurgiia
|February 12, 2024
概括
内血管治疗显著改善了上肢深静脉血栓形成的结果. 与常规抗凝药相比,经过导管血栓溶解和静脉支架的患者经历了更好的静脉再通道化和生活质量.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 上肢深静脉血栓 (DVT) 可能导致显著的发病率.
- 传统的抗凝药可能并不总是有效地恢复静脉通透性.
研究的目的:
- 评估内血管技术治疗上肢深静脉血栓的疗效.
- 为了比较内血管治疗与常规抗凝治疗的结果.
主要方法:
- 一项对24名患上肢DVT的患者进行的研究,分为两组.
- 第一组接受了抗凝药;第二组接受了抗凝药加上导管导向的血栓溶解和静脉支架/血管整形.
- 评估结果包括静脉再通道,静脉外流障碍和12个月后的生活质量 (SF-36).
主要成果:
- 在内血管组的83.3%实现了完整的静脉再通道,而仅服用抗凝剂组的25%.
- 静脉外流障碍在内血管组 (16.7%) 与抗凝组 (83.3%) 相比显著较低.
- 内血管组的患者在SF-36上报告了实质上更高的身体和心理健康得分.
结论:
- 内血管治疗,包括导管血栓溶解和支架,为上肢DVT提供了优异的结果.
- 这种方法可以改善静脉通透性,减少外流障碍,提高生活质量.
相关概念视频
Veins of Lower Limbs
824
The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
824
Veins of Upper Limbs
901
The human circulatory system, a marvel of biological engineering, is a complex network of vessels that transport blood throughout the body. Among these, the veins responsible for carrying blood from the upper limbs are divided into two categories: deep and superficial.
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
901
Anticoagulant Drugs: Low-Molecular-Weight Heparins
698
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
698
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
416
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
416
Overview of Systemic Veins
468
Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
468
Arteries of the Upper Limbs
564
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
564


