双下静脉卡瓦与大卡瓦:一个案例报告
Michael J Sinnott1, David Kosoy2, Albert Xing3
1Medicine, Florida International University (FIU) Herbert Wertheim College of Medicine, Tampa, USA.
Cureus
|May 21, 2025
概括
双重下静脉膜 (IVC) 过器有效地管理了一名罕见的双重IVC和大膜患者,在单个过器不可行时预防肺栓塞.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 医疗成像医学成像
背景情况:
- 深静脉血栓症 (DVT) 具有显著的血栓栓塞风险.
- 抗凝药在患有因动力衰竭而导致高跌倒风险的患者中是禁忌的.
- 下腔静脉 (IVC) 过器的放置是预防血栓栓塞事件的另一种选择.
研究的目的:
- 描述患有双 IVC 和大洞患者的管理,需要 IVC 过器放置.
- 为了评估双 IVC 过器放置在患者复杂的静脉解剖学和高血栓栓塞风险的有效性.
- 强调在内血管干预中识别和管理罕见解剖变异的重要性.
主要方法:
- 由于解剖学变异,下静脉 (IVC) 波器的放置使用双波器进行.
- 使用手术前成像来评估复杂的静脉解剖学,并计划干预.
- 双过器的决定是基于确保两个IVC通道的足够覆盖,并考虑可检索性与永久选项相比.
主要成果:
- 两个IVC过器被成功放置,一个在每个IVC中,提供有效的血栓栓塞保护.
- 这种方法解决了双重IVC和大型洞穴配置所带来的挑战,其中单个过器是不可行的.
- 双波器策略提供了可检索性,减轻了在这种复杂的情况下与永久波器相关的风险.
结论:
- 双 IVC 过器放置是一个有效的策略,用于双 IVC 和大洞患者,当单一的过器放置是不可行的.
- 识别和管理独特的解剖变异对于成功的内血管手术和优化血栓栓塞保护至关重要.
- 这个案例有助于理解如何使用先进的干预技术来管理复杂的静脉异常.
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