相关实验视频

Updated: Jun 14, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

静脉胸腔输出综合征 (vTOS):在慢性形式中,手术可能是解决方案吗?

Giuseppe Mangiameli¹, Alberto Italiani², Giovanna Rizzardi²

¹Division of Thoracic Surgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.

Annals of vascular surgery

|May 25, 2025

概括

通过第一肋切除进行手术减压有效治疗慢性静脉胸部输出综合征 (vTOS),改善症状,并允许大多数患者停止抗凝血. 分层有助于预测成功和指导治疗.

科学领域:

血管外科血管外科
胸部外科手术胸部外科手术
干预性放射学干预性放射学

背景情况:

慢性静脉胸部输出综合征 (vTOS) 涉及下静脉压缩后深静脉血栓,导致发病率和后血栓综合征.
目前慢性静脉静脉系统的治疗没有标准化,这凸显了需要有效的治疗策略的需要.
这项研究评估了慢性VTOS患者的胸部出口减压结果.

研究的目的:

评估胸腔出口减压在治疗慢性VTOS中的有效性.
基于患者分层,提供关于慢性VTOS最佳管理策略的见解.
评估手术后的症状缓解和功能恢复.

主要方法:

83名患有慢性VTOS的患者进行过交叉骨头第一个肋骨切除术的回顾性审查 (2013年1月至2024年4月).
术前分层分为三组,基于静脉再通道和附带循环.
术后结果的评估,包括症状的解决和成像发现.

主要成果:

总体而言,83%的患者经历了显著的症状改善,使抗凝药可停止使用.
第一个组 (完全再通道) 实现了89%的症状缓解;第二组 (部分再通道) 通过辅助血管造形术改善了61%.
第三组 (持久性闭塞) 显示在解压后有改善的附带循环和显著的症状缓解.

结论:

跨状第一肋切除是一种有效的手术干预,用于慢性VTOS的症状缓解.
术前成像和临床分析对于指导手术决策和预测结果至关重要.
患者分层可以为术后管理提供信息,包括对内血管干预的潜在需要.

更多相关视频

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane

Published on: December 9, 2022

Author Spotlight: Advancing Varicocele Treatment with Neuromuscular Electrical Stimulation

Author Spotlight: Advancing Varicocele Treatment with Neuromuscular Electrical Stimulation

Published on: August 30, 2024

相关概念视频

Esophageal Varices-II: Clinical Features and Management

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...

Pneumothorax-II

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:

Venous Return

Venous Return

The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...