在患有静脉异常的患者中复杂的IVC过器放置:一个病例报告
Maryam Mehrpooya1, Faeze Salahshour2, Massoud Ghasemi3
1Department of Cardiology, Imam Khomeini Medical Center, Tehran University of Medical Science, Tehran, Iran, tums.ac.ir.
Case reports in cardiology
|March 6, 2026
概括
这一案例突显出一种罕见的下腔静脉 (IVC) 异常,使得预防肺栓塞 (PE) 的过器放置变得复杂. 在此类干预之前,确定IVC异常至关重要.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 心脏病学 心脏病学
背景情况:
- 深静脉血栓 (DVT) 和其并发症肺栓塞 (PE) 构成重大健康风险.
- 下腔静脉 (IVC) 过器用于预防高风险DVT患者的PE.
- 标准的IVC过器放置可能因解剖学变异而复杂化.
研究的目的:
- 报告在IVC过器放置过程中遇到的IVC异常的罕见情况.
- 强调手术前成像对IVC异常的重要性.
- 讨论在过器放置期间处理IVC异常的方法.
主要方法:
- 一名35岁的男性患有DVT和PE,尽管服用抗凝药,但被评估了IVC过器的放置情况.
- CT血管造影诊断出PE;试图插入IVC过器.
- 由于程序上的困难,CT静脉图进行了,揭示了梅-瑟纳综合征和血栓异常.
主要成果:
- 由于IVC异常 (梅-瑟纳综合征与再通道血栓形成) 的原因,IVC过器的放置没有成功.
- 检索了IVC过器,并优化了抗凝血作用.
- 尽管面临着解剖学上的挑战,但患者的病情得到了成功管理.
结论:
- IVC的解剖学变异可以显著复杂化波器的放置.
- 术前成像以确定IVC异常对于安全有效的干预至关重要.
- 管理需要仔细考虑特定的异常和患者因素.
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