手动吸血血栓切除术对急性近道深静脉血栓形成的长期结果
Akihiro Tsuji1, Hiroya Hayashi1, Ryo Takano1
1Division of Pulmonary Circulation, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan.
Cardiovascular intervention and therapeutics
|August 1, 2025
概括
手动吸血栓切除术 (MAT) 针对深静脉血栓症 (DVT) 显示,血栓后综合征 (PTS) 的发生率为33%. 较早的干预和更高的血块去除成功与MAT可能会降低PTS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:
- 深静脉血栓塞 (DVT) 带来风险,手动吸血血栓切除术 (MAT) 是一种微创的选择.
- 血栓后综合征 (PTS) 是 DVT 治疗后的一个常见并发症.
- 评估近端DVT的MAT的长期结果对于患者管理至关重要.
研究的目的:
- 评估近道深静脉血栓症 (DVT) 手动吸血血栓切除术 (MAT) 后的血栓后综合征 (PTS) 的长期发病率和临床特征.
- 为了确定与PTS发展后的MAT相关的因素.
主要方法:
- 从2012年4月至2022年12月接受MAT治疗的21名急性近端DVT患者的回顾性分析.
- 使用静脉细分 (VS) 评分评估静脉血栓负担.
- 在干预后6至24个月间对PTS发病的评估.
主要成果:
- 在MAT后6-24个月的PTS总体发病率为33%.
- 患有PTS的患者在治疗后的VS得分显著提高,血栓吸收成功率降低.
- 在PTS组中也观察到从DVT发病到干预的时间较长.
结论:
- 亲近DVT的手动吸血栓切除术 (MAT) 与33%的长期患有血栓后综合征 (PTS) 的风险有关.
- 预测PTS的因素包括下血栓吸收成功和延迟干预.
- 使用MAT提前和更实质性地去除血栓可能会降低患PTS的风险.
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