AngioJet血栓抽吸技术在急性下肢深静脉血栓形成中“一站式”治疗的应用

The “one-stop” treatment of acute lower limb deep vein thrombosis was found in AngioJet thrombus extraction

目的探讨AngioJet血栓抽吸技术在急性下肢深静脉血栓形成中"一站式"治疗的意义。方法2013年10月至2015年2月上海第二军医大学附属长海医院收治的急性下肢深静脉血栓28例,予以AngioJet机械血栓抽吸术联合左髂静脉PTA术(9例术中造影见左髂静脉狭窄)完成"一站式"治疗。结果全部28例病人,手术技术成功率为100%,病人在术中可见静脉血流恢复通畅。2例出现穿刺点周围皮下淤血,13例出现血红蛋白尿,术后无肺栓塞和死亡病例,住院日(3.9±1.1)d。结论AngioJet血栓抽吸术在急性下肢深静脉血栓形成中"一站式"治疗中是安全、有效的,且具有卧床时间短、住院时间少、术后并发症少等优点。

Objective To summarize the experience of"one-stop"treatment in acute deep vein thrombosis in lower limb with AngioJet thrombus extraction.Methods From October 2013 to February 2015,28 cases of acute lower extremity deep vein thrombosis in changhai hospital affiliated to Shanghai second military medical university,were treated with"one-stop"treatment:AngioJet mechanical thrombus suction joint left iliac vein PTA technique(9 cases intraoperative angiography see left iliac vein stricture).Results All of the 28 patients were surgical success.The venous blood flow in patients with intraoperative visible restore patency.2 cases appeared subcutaneous ecchymosis around the puncture point,13 cases with hemoglobinuria,and no postoperative pulmonary embolism and deaths,The hospital day is(3.9±1.1)d.Conclusion AngioJet thrombus suction technique in"one-stop"treatment in the acute deep vein thrombosis in lower limb extremity treatment is safe and effective,can shorten the patients lie in bed time,reduce the length of hospital stay,reduce complications.