在没有手术的情况下解决VASCADE MVP后大腿静脉封闭:一个病例报告
Masaki Honda1, Masateru Takigawa1, Taishi Yonetsu1
1Department of Cardiovascular Medicine, Institute of Science Tokyo, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8510, Japan.
European heart journal. Case reports
|December 22, 2025
概括
据报道,VASCADE MVP静脉关闭装置的罕见并发症是静脉封闭. 气球血管整形成功治疗了由原诱导的阻塞,强调了需要小心部署设备的必要性.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 医疗器械 医疗器械
背景情况:
- 瓦斯卡德MVP®是一种基于原的装置,用于在大孔静脉通道中实现静血.
- 虽然有效和安全,但静脉封闭是一种以前未报告的并发症.
研究的目的:
- 报告可能由VASCADE MVP设备的残留原体引起的静脉封闭的第一个病例.
- 描述这种并发症的成功管理.
主要方法:
- 一名72岁的妇女在腿部静脉放置和使用VASCADE MVP设备后,在手术后出现了右腿胀.
- 与对比度增强的CT和双重超声显示了常见的股骨静脉 (CFV) 狭窄和深静脉血栓的怀疑.
- 静脉扫描和静脉内镜检查发现了导致机械阻塞的残留原体,随后进行了气球血管造形术.
主要成果:
- 诊断出完全的CFV封闭.
- 血管内镜检查证实残留的原蛋白是原因.
- 气球血管整形部分恢复了血液流动,避免了手术.
- 在保守的管理下,在2个月内完全康复.
结论:
- 这是第一个因VASCADE MVP器件的残留原二次性静脉封闭报告的病例.
- 原诱导的机械阻塞可以通过气球血管整形等干预措施可逆.
- 在使用VASCADE MVP时,正确的技术至关重要,以防止原体在血管内部署.
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