胸部中央静脉阻塞 内血管再通道和重建
Kara M Fitzgerald1, Kira R Newell1, David S Shin1
1From the Department of Radiology, Section of Interventional Radiology, University of Washington, 1959 NE Pacific Ave, Seattle, WA 98195 (K.M.F., D.S.S., M.A.S., J.F.B.C.); University of Washington School of Medicine, University of Washington, Seattle, Wash (K.R.N.); Department of Radiology, Section of Interventional Radiology, University of Wisconsin, Madison, Wis (E.J.M.); Department of Radiology, Section of Interventional Radiology, Grossman School of Medicine, NYU Langone Health, New York, NY (F.B.); and Department of Radiology, Section of Interventional Radiology, Yale University School of Medicine, New Haven, Conn (A.S.).
胸部中央静脉阻塞 (TCVO) 是一种影响静脉回流的疾病. 内血管疗法现在是首选的治疗方法,提供快速的症状缓解,高成功率和罕见的不良事件.
科学领域:
- 血管医学 血管医学
- 干预性放射学 干预性放射学
- 心脏病学 心脏病学
背景情况:
- 胸部中央静脉阻塞 (TCVO) 损害了静脉从上部回归到心脏.
- 原因是良性或恶性,涉及内,内或血管外阻塞.
- 临床上通常被称为上静脉综合征.
研究的目的:
- 审查治疗胸部中心静脉阻塞的诊断和治疗方面的进展.
- 突出TCVO内血管治疗的疗效和安全性.
主要方法:
- 诊断评估通常涉及超声波或静脉图 (MR,CT或导管导向).
- 治疗策略包括内血管技术,如血栓切除术,血栓溶解,再通道化和支架或支架移植.
- 使用抗血小板和抗凝剂的药理管理通常在术后使用.
主要成果:
- 内血管治疗已经成为快速和安全缓解症状的首选治疗方法.
- 在内血管干预方面报告了高的技术和临床成功率.
- 主要不良事件很少发生,仅发生在1%-2%的患者中.
结论:
- 内血管治疗是治疗胸部中心静脉阻塞的安全有效方法.
- 内血管技术的发展显著改善了TCVO.患者的治疗结果.
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