[1]丁鹏绪,吴刚,韩新巍,等.Budd-Chiari综合征:预开通治疗下腔静脉内陈旧性血栓[J].介入放射学杂志,2010,(09):702.
 DING Pengxu,WU Gang,HAN Xinwei,et al.Predilation technique for the treatment of old inferior vena cava thrombus in patients with Budd-Chiari syndrome[J].journal interventional radiology,2010,(09):702.
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Budd-Chiari综合征:预开通治疗下腔静脉内陈旧性血栓()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年09期
页码:
702
栏目:
血管介入
出版日期:
2010-09-15

文章信息/Info

Title:
Predilation technique for the treatment of old inferior vena cava thrombus in patients with Budd-Chiari syndrome
作者:
丁鹏绪吴刚韩新巍水少锋王艳丽李臻马骥付明倜
450052郑州大学第一附属医院放射科;郑州大学介入治疗研究所
Author(s):
DING Peng-xuWU GangHAN Xin-weiSHUI Shao-fengWANG Yan-liLI ZhenMA JiFU Ming-ti.
Institute of Interventional Therapy&Radiology Department ,the First Affiliated Hospital,Zhengzhou University,Zhengzhou450052,China Corresponding author:HAN Xin-wei,E-mail:hanxinwei@tom.com
关键词:
布加综合征下腔静脉血栓陈旧性介入放射学
分类号:
R543.6
文献标志码:
A
摘要:
目的探讨预开通技术治疗Budd-Chiari综合征(BCS)合并下腔静脉内陈旧性血栓的临床应用。方法收集2006年12月-2009年8月采用预开通技术治疗的BCS合并下腔静脉内陈旧性血栓9例,先行下腔静脉造影,而后使用直径12~16mm的球囊导管预扩张下腔静脉以恢复下腔静脉正向血流;术后给予抗凝、溶栓治疗促进血栓溶解;血栓溶解完全后使用直径25mm/30mm的球囊导管扩张下腔静脉以充分开通下腔静脉。术后采用彩色多普勒超声探查血栓溶解情况及下腔静脉通畅情况。结果9例BCS合并下腔静脉内陈旧性血栓患者均为下腔静脉膜性阻塞,预开通下腔静脉后,除1例因再次阻塞下腔静脉而改行可回收支架治疗外,余8例患者血栓逐渐溶解消失,未出现肺栓塞症状,成功实施下腔静脉球囊扩张成形。术后随访除1例下腔静脉再次阻塞外,余8例下腔静脉血流通畅,无血栓再次形成。结论预开通技术治疗BCS合并下腔静脉内陈旧性血栓,安全、有效。

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备注/Memo

备注/Memo:
收稿日期:2010-04-15
更新日期/Last Update: 2010-09-15