腘静脉置管溶栓联合血管腔内介入治疗Cockett综合征并发下肢深静脉血栓形成30例

Thirty cases of catheter directed thrombolysis and endovascular interventional treatment for Cockett syndrome complicated by deep vein thrombosis

目的:探讨腘静脉置管溶栓联合血管腔内介入治疗Cockett综合征并发下肢深静脉血栓(DVT)的临床应用价值。方法:2002年12月—2008年6月对30例Cockett综合征并发下肢DVT形成患者进行下腔静脉滤器保护下腘静脉置管溶栓联合髂静脉球囊扩张支架植入术。结果:30例患者均手术成功,无手术死亡,无肺动脉栓塞发生。随访26例(随访率86.7%),随访时间为3个月～3年,平均22个月,仅1例发生支架内血栓形成。结论:腘静脉置管溶栓联合血管腔内介入能够有效治疗Cockett综合征并发下肢DVT,安全性高,近、中期效果良好。

Objective： To evaluate the efficacy of catheter directed thrombolysis and endovascular interventional treatment for Cockett syndrome complicated by deep vein thrombosis（DVT）. Methods： Thirty cases of Cockett syndrome complicated by DVT were dealed from December 2002 to June 2008. All the patients underwent vena cava filter, catheter directed thrombolysis and balloon dilatation in iliac venous. Results： There were no operative deaths, nor lung artery embolism postoperatively. Twenty-six cases were followed-up for 3 months to 3 years （mean 22 moths）.Thrombosis in stent was found in only one case. Conclusion： Catheter directed thrombolysis and endovascular interventional treatment is a microinvasive, safe and effective surgical method for patients of Cockett syndrome complicated by DVT.