[1]赵国瑞,任建庄,段旭华,等.腔内介入治疗Cockett综合征伴左下肢深静脉血栓形成 [J].介入放射学杂志,2017,(06):522-526.
 ZHAO Guorui,REN Jianzhuang,DUAN Xuhua,et al.Endovascular interventional therapy for Cockett syndrome associated with deep vein thrombosis of left lower extremity [J].journal interventional radiology,2017,(06):522-526.
点击复制

腔内介入治疗Cockett综合征伴左下肢深静脉血栓形成



()

PDF下载中关闭

分享到:

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

卷:
期数:
2017年06期
页码:
522-526
栏目:
血管介入
出版日期:
2017-06-25

文章信息/Info

Title:
Endovascular interventional therapy for Cockett syndrome associated with deep vein thrombosis of left lower extremity

作者:
赵国瑞 任建庄 段旭华 张文广 陈鹏飞 康 泰 张庆辉 王朝阳 邝东林 李方正 韩新巍
Author(s):
ZHAO Guorui REN Jianzhuang DUAN Xuhua ZHANG Wenguang CHEN Pengfei KANG Tai ZHANG Qinghui WANG Chaoyang KUANG Donglin LI Fangzheng HAN Xinwei.
Department of Interventional Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 Cockett综合征 导管溶栓 球囊扩张 支架植入 临床疗效
文献标志码:
A
摘要:
【摘要】 目的 探讨Cockett综合征伴左下肢深静脉血栓形成(DVT)腔内介入治疗的临床效果。 方法 回顾性分析2011年1月至2015年1月收治的256例Cockett综合征伴左下肢DVT患者,采用经导管接触溶栓、球囊扩张闭塞/狭窄段或支架植入术治疗,比较治疗前后患肢周径差、远期通畅率。结果 256例Cockett综合征伴左下肢DVT患者中232例(90.6%)血栓完全溶解,24例(9.4%)部分溶解,治疗前后患肢大腿与小腿周径差分别为(7.12±2.15) cm、(4.57±2.81) cm。206例髂静脉重建患者中单纯球囊扩张46例,球囊扩张联合髂静脉支架植入160例;平均随访15个月(9~24个月),单纯球囊扩张患者失访3例,出现髂静脉闭塞26例(60.5%),血栓后综合征(PTS)21例(48.8%),球囊扩张联合支架植入患者失访11例,支架狭窄/闭塞13例(8.7%),PTS 15例(10.1%),两组闭塞/狭窄、PTS差异有统计学意义(P<0.001)。结论 导管接触溶栓、球囊扩张联合支架植入治疗Cockett综合征,具有确切的临床疗效。

参考文献/References:

[1] Shebel ND, Whalen CC. Diagnosis and management of iliac vein compression syndrome[J]. J Vasc Nurs, 2005, 23: 10- 17.
[2] Tuygun AK, Ketenci B, Gunay R, et al. Validity and reliability of VEINES- QOL/Sym questionnaire in chronic venous disorders[J]. J Cardiovasc Surg (Torino), 2012, 53: 355- 361.
[3] May R, Thurner J. The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins[J]. Angiology, 1957, 8: 419- 427.
[4] Cockett FB, Thomas ML. The iliac compression syndrome[J]. Br J Surg, 1965, 52: 816- 821.
[5] Carr S, Chan K, Rosenberg J, et al. Correlation of the diameter of the left common iliac vein with the risk of lower- extremity deep venous thrombosis[J]. J Vasc Interv Radiol, 2012, 23: 1467- 1472.
[6] Vedantham S. Interventional approaches to deep vein thrombosis[J]. Am J Hematol, 2012, 87(Suppl 1): S113- S118.
[7] 李晓强, 桑宏飞, 戎建杰, 等. 左髂静脉狭窄或闭塞的介入治疗[J]. 中华普通外科杂志, 2008, 23: 190- 192.
[8] Lou WS, Gu JP, He X, et al. Endovascular treatment for iliac vein compression syndrome: a comparison between the presence and absence of secondary thrombosis[J]. Korean J Radiol, 2009, 10: 135- 143.
[9] 张文广, 李 震, 韩新巍, 等. 经导管接触溶栓与单纯静脉药物溶栓治疗下肢深静脉血栓的对比分析[J]. 中国普外基础与临床杂志, 2012, 19: 1171- 1174.
[10] 黄晓钟, 梁 卫, 叶 猛, 等. 导管直接溶栓治疗下肢深静脉血栓形成[J]. 介入放射学杂志, 2008, 17: 11- 14.
[11] 赵伯翔, 顾建平, 陈国平, 等. D-二聚体监测在治疗急性髂股静脉血栓形成中的临床价值[J]. 介入放射学杂志, 2013, 22: 464- 469.
[12] Meissner MH, Gloviczki P, Comerota AJ, et al. Early thrombus removal strategies for acute deep venous thrombosis: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum[J]. J Vasc Surg, 2012, 55: 1449- 1462.
[13] Chan KT, Popat RA, Sze DY, et al. Common iliac vein stenosis and risk of symptomatic pulmonary embolism: an inverse correlation[J]. J Vasc Interv Radiol, 2011, 22: 133- 141.
[14] 李晓强, 王深明. 深静脉血栓形成的诊断和治疗指南(第二版)[J]. 中国血管外科杂志?电子版, 2013, 5: 23- 26.
[15] Meng QY, Li XQ, Qian AM, et al. Endovascular treatment of iliac vein compression syndrome[J]. Chin Med J, 2011, 124: 3281- 3284.
[16] Kwak HS, Han YM, Lee YS, et al. Stents in common iliac vein obstruction with acute ipsilateral deep venous thrombosis: early and late results[J]. J Vasc Interv Radiol, 2005, 16: 815- 822.
[17] Matsuda A, Yamada N, Ogihara Y, et al. Early and long- term outcomes of venous stent implantation for iliac venous stenosis after catheter- directed thrombolysis for acute deep vein thrombosis[J]. Circ J, 2014, 78: 1234- 1239.
[18] Hartung O, Loundou AD, Barthelemy P, et al. Endovascular management of chronic disabling ilio- caval obstructive lesions: long- term results[J]. Eur J Vasc Endovasc Surg, 2009, 38: 118- 124.
[19] Moudgill N, Hager E, Gonsalves C, et al. May- Thurner syndrome: case report and review of the literature involving modern endovascular therapy[J]. Vascular, 2009, 17: 330- 335.
[20] Neglen P, Hollis KC, Olivier J, et al. Stenting of the venous outflow in chronic venous disease: long- term stent- related outcome, clinical, and hemodynamic result[J]. J Vasc Surg, 2007, 46: 979- 990.
[21] 顾建平, 徐 克, 滕皋军. 下肢深静脉血栓形成介入治疗规范的专家共识[J]. 介入放射学杂志, 2011, 20: 505- 510.
[22] 张喜成. 髂静脉支架植入后局部流场的PIV测试及其对另侧髂静脉影响的实验研究[D]. 苏州: 苏州大学, 2014.
[23] Liu ZJ, Gao N, Shen LG, et al. Endovascular treatment for symptomatic iliac vein compression syndrome: a prospective consecutive series of 48 patients[J]. Ann Vasc Surg, 2014, 28: 695- 704.
[24] Comerota AJ, Grewal N, Martinez JT, et al. Postthrombotic morbidity correlates with residual thrombus following catheter
- directed thrombolysis for iliofemoral deep vein thrombosis[J]. J Vasc Surg, 2012, 55: 768- 773.

相似文献/References:

[1]沈阳,王慧民,张青田,等.动脉、静脉溶栓治疗下肢动脉栓塞比较[J].介入放射学杂志,1997,(03):178.
[2]蒋忠铭,徐清华.经小隐静脉置管溶栓治疗下肢深静脉血栓形成[J].介入放射学杂志,2010,(12):944.
 JIANG Zhong-ming,XU Qing-hua..Transcatheter thrombolysis via the small saphenous vein for deep venous thrombosis of lower limb[J].journal interventional radiology,2010,(06):944.
[3]郝红军,李 智,金泳海,等. 球囊扩张辅助经导管直接溶栓导致下腔静脉滤器栓塞及其处理[J].介入放射学杂志,2012,(06):461.
 HAO Hong- jun,LI Zhi,JIN Yong-hai,et al. Inferior vena cava filter embolism caused by balloon?蛳assisted catheter?蛳directed thrombolysis and its treatment[J].journal interventional radiology,2012,(06):461.
[4]张昌明,张福先,张 欢. 经导管溶栓治疗急性下肢缺血疗效分析[J].介入放射学杂志,2012,(09):780.
 ZHANG Chang- ming,ZHANG Fu- xian,ZHANG Huan.. Evaluation of percutaneous catheter?蛳 directed thrombolysis for the treatment of acute lower limb ischemia[J].journal interventional radiology,2012,(06):780.
[5]隋守光,王世礼,孙 鹏,等.瑞替普酶、尿激酶经导管溶栓治疗急性下肢深静脉血栓的疗效观察[J].介入放射学杂志,2013,(01):57.
 SUI Shou? guang,WANG Shi? li,SUN Peng,et al. Catheter- directed thrombolytic therapy with use of reteplase and urokinase for the treatment of acute deep venous thrombosis of lower extremity: an observation of clinical results[J].journal interventional radiology,2013,(06):57.
[6]李孝成,潘光栋,肖运平,等. 导管溶栓治疗急性下肢缺血30例[J].介入放射学杂志,2014,(03):250.
 LI Xiao? cheng,PAN Guang? dong,XIAO Yun? ping,et al. Catheter?蛳 directed thrombolysis for the treatment of acute lower limb ischemia: report of 30 cases[J].journal interventional radiology,2014,(06):250.
[7]朱 军,戴真煜,姚立正,等.AngioJet药物机械偶联血栓清除术治疗急性下肢深静脉血栓形成 [J].介入放射学杂志,2017,(06):518.
 ZHU Jun,DAI Zhenyu,YAO Lizheng,et al.AngioJet rheolytic thrombectomy for the treatment of acute deep venous thrombosis of lower extremity[J].journal interventional radiology,2017,(06):518.
[8]利 峰,杨孔武,穆茂媛,等.介入综合治疗Cockett综合征伴急性左下肢深静脉血栓形成 [J].介入放射学杂志,2021,30(02):181.
 LI Feng,YANG Kongwu,MU Maoyuan,et al.Comprehensive interventional treatment for Cockett syndrome associated with acute deep venous thrombosis of left lower limb[J].journal interventional radiology,2021,30(06):181.

备注/Memo

备注/Memo:
(收稿日期:2016-07-16)
(本文编辑:边 佶)
更新日期/Last Update: 2017-06-13