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在下静脉努力血栓瘤的混合方法中,单中心的经验
Maksym Katelenets1, Victor Ginzburg1, Anatoly Leytzin1
1Department of Vascular Surgery, Soroka Medical Center, Be'er-Sheva, Israel.
概括
年轻成年人下静脉 (SCV) 的劳动性血栓症可以通过第一个肋骨切除和内血管修复有效地治疗,显示出高静脉通透性和优秀的功能结果.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 胸腔出口综合征 (TORAS) 是一种疾病.
背景情况:
- 关节下静脉 (SCV) 的劳动性血栓是上肢深静脉血栓和静脉胸腔出口综合征的重要原因.
- 这种情况主要影响年轻,活跃的个体,可能导致长期功能障碍.
- 对SCV血栓形成的最佳治疗策略仍然存在争议,因为缺乏既定的治疗方案.
研究的目的:
- 为努力SCV血栓形成提供局部治疗方案.
- 评估拟议治疗方案的有效性,安全性和功能影响.
主要方法:
- 在2005年9月至2022年12月期间治疗的27名努力SCV血栓患者的回顾性分析.
- 治疗包括导管导向的血栓溶解,第一个肋骨切除和用自我扩张的支架进行内血管修复.
- 评估包括早期和晚期的支架通透性,慢性静脉功能不充分 (Villalta评分) 和手臂功能状态 (QuickDASH-9).
主要成果:
- 27名患者中有23名接受了完整的治疗方案.
- 在18名被评估的患者中,早期支架穿透率为94.4%,晚期穿透率为83.3%.
- 没有患者出现临床显著的慢性静脉功能不全 (维拉拉塔中位数:1),QuickDASH-9中位数为2.75.
结论:
- 第一个肋骨切除对于缓解SCV的骨压缩至关重要.
- 随后的内血管修复确保了流动的进展,并保持了优秀的长期静脉通透性.
- 描述的积极方法表明,对受影响的四肢有前途的安全性和功能结果.
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