梅-瑟纳综合征通过导管导向血栓溶解和支架安置来管理:一个病例报告
Tuy Thi Hong Nguyen1, Dung Anh Nguyen2, Liel Khai To1
1Radiology Department, Tam Anh General Hospital, Ho Chi Minh City 700000, Vietnam.
Radiology case reports
|September 2, 2024
概括
梅-瑟纳综合征是一种罕见的病症,由于左常静脉 (CIV) 压缩导致左下肢静脉血栓形成,已成功治疗. 这一案例突出了有效的血栓溶解和支架用于管理严重的CIV阻塞.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 梅-瑟纳综合征涉及右常动脉 (CIA) 对左常动脉 (CIV) 的慢性压缩.
- 这种情况可以导致左下肢的深静脉血栓形成 (DVT),经常出现疼痛和胀.
- 由于其罕见,诊断可能具有挑战性.
研究的目的:
- 报告一个梅-瑟纳综合征病例,呈现为急性深静脉血栓.
- 为了说明左常静脉压缩和血栓形成的成功管理.
- 强调先进的成像和内血管技术在治疗这种罕见疾病中的作用.
主要方法:
- 一名33岁的女性出现了急性左腿胀和疼痛.
- 用多普勒超声波和CT静脉扫描来诊断广泛的左侧骨深静脉血栓瘤和左侧CIV压缩.
- 治疗涉及导管导向的血栓溶解与alteplase,其次是自扩张支架放置在左侧CIV.
主要成果:
- 这位患者出现了急性 iliofemoral 深静脉血栓症.
- CT 静脉检查证实左侧常见阴道静脉被右侧常见阴道动脉和L4 脊椎压缩.
- 用导管导向的血栓溶解和左侧CIV的成功支架导致了没有并发症的积极结果.
结论:
- 梅-瑟纳综合征是左下肢深静脉血栓形成的可治疗原因.
- 内血管治疗,包括血栓溶解和支架,是有效的管理症状CIV压缩.
- 及时诊断和干预对于梅-瑟纳综合征的良好结果至关重要.
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