AngioJet血栓抽吸联合支架成形治疗腋静脉-锁骨下静脉血栓形成1例

Successful treatment of axillary-subclavian vein thrombosis with AngioJet thrombus aspiration combined with stenting angioplasty in one patient

目的分析AngioJet血栓抽吸联合支架成形治疗腋静脉-锁骨下静脉血栓形成的安全性和可行性。方法采用AngioJet血栓抽吸联合支架成形技术治疗1例59岁左上肢深静脉血栓病例。血栓抽吸减负后于残余狭窄病变处行支架植入,术后腋静脉-锁骨下静脉回流通畅。结果患者术后左上肢肿胀消失,无手术并发症,术后12个月复查静脉超声提示支架通畅。结论该技术治疗腋静脉-锁骨下静脉血栓形成安全可行,需要更多治疗例数和远期随访结果观察。

Objective To evaluate the safety and feasibility of AngioJet thrombus aspiration combined with stenting angioplasty in treating axillary-subclavian vein thrombosis. Methods AngioJet thrombus aspiration combined with stenting angioplasty was adopted to treat deep vein thrombosis of left upper limb in a59-year-old male. After thrombus aspiration with a reduction in thrombus load, stent implantation at the residual stenotic site was carried out. After the treatment, the axillary-subclavian vein flow was unobstructed.Results After the treatment, the left upper limb swelling disappeared, and no procedure-related complications occurred. Reexamination of venous ultrasound at 12 months after the treatment showed that the implanted stent was unobstructed. Conclusion For the treatment of axillary-subclavian vein thrombosis,AngioJet thrombus aspiration combined with stenting angioplasty is safe and feasible, although more number of clinical treatment cases and long-term observations are need before its clinical value can be clarified.