急性髂股静脉血栓形成时腔内治疗技术的选用与评价

Evaluation of transluminal therapy in acute iliofemoral venous thrombosis

急性髂股静脉血栓形成(AIFVT)是常见的静脉血栓栓塞性疾病,易并发致命性肺栓塞(PE)。近年来导管溶栓的应用不断增加,但不推荐常规应用。当溶栓治疗不满意或者使用溶栓治疗受到限制时,可采用抽栓导管负压抽吸血栓。超声消融不能作为深静脉血栓形成的单一治疗手段,多联合手术取栓及球囊扩张、支架植入术。AIFVT治疗的关键是早期诊断、早期治疗。

Acute iliofemoral venous thrombosis（AIFVT） is a common disease in venous thromboembolism.In recent years,the application of catheter-directed thrombolysis was increasing,but not recommended routine applications.when treatment of catheter-directed thrombolysis was not satisfied or limited,can adopt thrombus extraction.Ultrasonic ablation was not single treatment of deep venous thrombosis,it must joint thrombectomy,balloon angioplasty and peri-operative.The key of AIFVT treatment was the early diagnosis and early treatment.