儿科深静脉血栓的内血管管理
Vaz Zavaletta1, Beth B Warren2, Danielle Katz1
1Division of Pediatric Radiology, Department of Radiology, University of Colorado, Children's Hospital Colorado, Aurora, Colorado.
Seminars in interventional radiology
|October 13, 2025
概括
本综述涵盖了儿科深静脉血栓 (DVT) 的血栓溶解和血栓切除术. 内血管疗法越来越多地与抗凝药一起使用,以预防儿童的并发症并保持静脉通透性.
科学领域:
- 儿科血液学 儿科血液学
- 干预性放射学 干预性放射学
- 血管医学 血管医学
背景情况:
- 儿科深静脉血栓症 (DVT) 管理已经从抗凝药发展到先进的内血管疗法.
- 涉及儿科血液学和干预放射学的多学科方法对于儿童的最佳DVT护理至关重要.
研究的目的:
- 审查当前用于小儿DVT的血栓溶解和血栓切除的实践.
- 概述儿童内血管手术的指示,禁忌和技术.
- 强调多学科合作在治疗儿科血栓的重要性.
主要方法:
- 关于儿科DVT管理的当前文献的综述.
- 对血栓溶解和血栓切除术的指示,禁忌和程序技术的分析.
- 强调多学科团队角色和儿科专用考虑.
主要成果:
- 抗凝血仍然是标准,但内血管治疗对于广泛的或威胁四肢的DVT至关重要.
- 审查的程序包括导管导向的血栓溶解,药物机械血栓切除术 (PMT),机械血栓切除术和静脉支架.
- 多学科合作是解决儿科特异性因素的关键,例如尺寸,镇静,辐射和对比剂量.
结论:
- 内血管疗法在儿科DVT治疗中发挥着越来越重要的作用,旨在预防肺栓塞和血栓后综合征 (PTS).
- 成功管理需要仔细考虑儿科特异性因素和强大的术后护理,包括抗凝药和成像后续检查.
- 儿科血栓性疾病的改善结果取决于儿科血液学家,干预放射学家和其他专家之间的密切合作.
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