机械血栓切除术用于使用ClotTriever系统治疗阴腹腔深静脉血栓:一个单中心的经验
Zahi Qamhawi1, Simon Braithwaite2, Rezhwan Ahmed2
1Department of Vascular and Interventional Radiology, John Radcliffe Hospital, Oxford, OX3 9DU, UK. zahi.qamhawi@ouh.nhs.uk.
Cardiovascular and interventional radiology
|July 10, 2025
概括
使用ClotTriever系统的机械血栓切除术有效地治疗了 iliofemoral深静脉血栓塞 (DVT),取得了高的成功率和持续的穿透率. 这种微创的方法显著改善了患者的症状,并降低了血栓后综合征 (PTS) 的风险.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 心血管医学 心血管医学
背景情况:
- 阴腹腔深静脉血栓症 (DVT) 经常导致衰弱的血栓后综合征 (PTS).
- 机械血栓切除术 (MT) 提供了一个潜在的解决方案,可以尽早恢复静脉通透性,并减轻PTS的发展.
- 克洛特里弗系统是一种用于机械去除静脉瘤的设备.
研究的目的:
- 评估 ClotTriever 系统在治疗阴茎侧侧深瘤时的安全性和有效性.
- 评估技术成功,长期通透率和临床结果,包括PTS发展.
- 分析与ClotTriever MT相关的并发症率和住院时间.
主要方法:
- 连续接受 ClotTriever MT 治疗 iliofemoral DVT 的患者的回顾性审查.
- 评估技术成功 (≥75%的血栓去除,恢复通透性) 和通透性 (初级,辅助初级,二级) 在12个月内.
- 使用Villalta分数对PTS的评估,并记录并发症和死亡率.
主要成果:
- 在81名患者的90个肢体中,技术成功率高达98.9%.
- 在12个月内,持续的初级通透率为76.2%;二次通透率达到95.5%.
- 维拉拉塔得分显著改善 (中位数为10.5至1.0,p<0.0001),随访时89.8%的四肢没有PTS.
结论:
- 克洛特里弗MT是一种安全有效的 iliofemoral DVT 治疗方法,具有很高的成功率和通透性.
- 该程序导致显著的症状缓解和中度/重度PTS的低发病率.
- 需要进一步的比较研究来确定ClotTriever的优势,而不是标准的抗凝药.
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