血栓形成的尾静脉动脉瘤用大沙静脉卷插曲技术治疗
Yoshun Sai1, Hiroki Sakai1, Kunihiko Yoshino1
1Cardiovascular Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Chiba, JPN.
Cureus
|April 28, 2025
概括
脊柱静脉动脉瘤 (PVA) 很少见,但可能导致严重的血栓. 一个大沙静脉 (GSV) 滚动移植成功重建了血栓化PVA,提供了一种新的手术解决方案.
科学领域:
- 血管外科 血管外科
- 血管异常 血管异常
背景情况:
- 脊柱静脉动脉瘤 (PVA) 是一种不常见的血管形.
- 肺栓塞可导致严重的血栓栓塞并发症,包括肺栓塞.
研究的目的:
- 报告一个与肺血栓塞结合的右侧PVA血栓的病例.
- 为了描述成功的手术管理使用自大沙静脉 (GSV) 滚动移植用于骨静脉重建.
主要方法:
- 最初的抗凝剂,然后是手术切除血栓化PVA.
- 使用量身定制的自主GSV滚动插座移植来重建尾静脉缺陷.
- 手术后使用直接口服抗凝剂进行管理,并通过双重超声波和CT静脉扫描进行定期监测.
主要成果:
- 在GSV卷接种提供了一个成功的复杂PVA的重建.
- 在手术后1.5年内,移植的通透性保持不变.
- 患者仍然没有症状,没有发生血栓栓塞事件的复发.
结论:
- 用GSV滚动移植进行个性化静脉重建是一种有效的技术,用于管理血栓化PVA.
- 这种方法提供了简单性,适应性和减少线与传统移植相比.
- 这一案例是首次报告使用GSV滚动移植在血栓PVA中进行尾静脉重建的情况.
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