非血栓性髂静脉受压综合征介入治疗并发症的防治

Prevention and Management Complications of Nonthrombotic Iliac Vein Compression Syndrome after Interventional Therapy

目的评价非血栓性髂静脉受压综合征介入治疗并发症的防治。方法从2001年3月～2010年10月,84例非血栓性髂静脉受压综合征患者接受了介入治疗,其中81例行球囊扩张和支架置入术,3例行单纯球囊扩张术,随访3～78个月,平均28个月。分析评价的主要参数为并发症的发生和防治措施。结果 76例患者症状明显改善;有9例患者穿刺部位皮下出现轻度淤血,2例发生髂静脉穿孔;术中发生腰背部疼痛34例,术后疼痛14例;静脉支架远端移位4例,其中3例近端狭窄;术后髂静脉病变部位再狭窄6例。所有并发症未引起严重的临床后果。结论非血栓性髂静脉受压综合征介入治疗的并发症主要包括皮下淤血、髂静脉穿孔、术中术后疼痛、术后髂静脉病变部位再狭窄、静脉支架远端移位。但这些并发症绝大部分可进行防治,很少引起严重的后果。介入治疗是一种安全、简单、有效的治疗髂静脉受压综合征的方法。

Objective To assess the prevention and management of complications of nouthrombotie lilac vein compression syndrome after interventional therapy. Methods From March 2001 to October 2010, 84 patients of nonthromhotic lilac vein compression syndrome were treated with balloon angioplasty,and 81 stents were placed in the veins. The patients were followed up from 3 to 78 months（ mean 28months）. Main outcome measures were composed of the occurrences of endovascular surgery complications and their prevention and management. Results Significant symptom relief was achieved in 76 （90.5%） patients after balloon angioplasty and stent placement. The subcutaneous light gore of venous access sites was seen in 9 patients. Iliac vein perforationwas seen in 2 eases. 34 patients complained back pain intraoperatively and 14 continued postoperatively. 4 stents displaced distally and proximal restenosis developed in 3 patients. Conclusion The complications include perforation, pain, venous restenosis, stent displace. But most of these complications can be prevented and cured. Venous balloon angioplasty and stenting appears to be a safe, relatively simple, and efficient method to treat iliac vein compression syndrome.