腔内治疗左髂静脉受压综合征并急性髂-股静脉血栓形成临床分析

Endovascular therapy for left iliac vein compression syndrome with acute iliac-femoral venous thrombosis

目的探讨腔内治疗左髂静脉受压综合征(IVCS)并急性髂-股静脉血栓形成(I-FVT)的临床疗效及安全性。方法 2014年10月至2015年12月新疆自治区人民医院血管外科明确诊断为左IVCS并急性I-FVT的22例患者,均接受导管溶栓(CDT)联合球囊扩张及支架植入等腔内治疗。结果 22例均成功实施腔内治疗,患肢肿胀改善有效率为95.5%,溶栓有效率达91%,支架植入有效率100%。治疗期间仅有1例实施再次溶栓治疗,无大出血及症状性肺栓塞发生。15例患者获得随访,随访时间6个月,随访中1例血栓复发堵塞支架,进行干预后痊愈。结论腔内治疗左IVCS并急性I-FVT的临床疗效显著,是一种安全、有效的方法 ,且近期随访效果良好。

Objective To investigate the clinical effects and security of endovascular therapy for left iliac vein compression syndrome(IVCS) with acute iliac-femoral venous thrombosis(I-FVT).Methods From October 2014 to December 2015,22 patients were definitely diagnosed with left IVCS and acute I-FVT in deparment of vascular surgery,Xinjiang Uygurs Autonomous Region Pepole's Hospital,and underwent endovascular therapy,which included catheter-directed thrombolysis combining with balloon angioplasty and stent implantation.Results Twenty-two cases were all successfully underwent endovascular therapy.The effective rates of improvement of the limb swelling,thrombolysis and stent implantation were 95.5%,91%,and 100%,respectively.In hospitalization,only 1 case received secondary thrombolysis treatment.No bleeding and symptomatic pulmonary embolism occurred.During the follow-up period,1 reccurence of thrombus blocked stent and recovered after intervention.Conclusions Endovascular therapy for left IVCS and acute I-FVT is an effective and safe treatment,with great efficacy and good short outcomes.