[1]施万印,陈 亮,刘长建,等.血管内介入治疗滤器源性下腔-髂静脉长段阻塞8例 [J].介入放射学杂志,2017,(11):978-982.
 SHI Wanyin,CHEN Liang,LIU Changjian,et al.Endovascular treatment for filter- related long segment obstruction of IVC and iliac vein: preliminary results in 8 patients[J].journal interventional radiology,2017,(11):978-982.
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血管内介入治疗滤器源性下腔-髂静脉长段阻塞8例 



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

卷:
期数:
2017年11期
页码:
978-982
栏目:
血管介入
出版日期:
2017-11-25

文章信息/Info

Title:
Endovascular treatment for filter- related long segment obstruction of IVC and iliac vein: preliminary results in 8 patients
作者:
施万印 陈 亮 刘长建 顾建平
Author(s):
SHI Wanyin CHEN Liang LIU Changjian GU Jianping
Department of Vascular and Intervational Radiology, Nanjing First Hospital, Nanjing University, Nanjing, Jiangsu Province 210006, China
关键词:
【关键词】 下腔静脉 髂静脉 滤器 血管内治疗
文献标志码:
A
摘要:
【摘要】 目的 探讨血管内介入治疗滤器源性下腔-髂静脉长段阻塞的可行性和安全性。方法 2014年1月至2016年10月采用经皮腔内血管成形术(PTA)和支架植入术治疗8例下腔静脉滤器置入后慢性下腔-髂静脉长段闭塞患者。收集8例患者临床及影像学资料,对血管内介入治疗方法、技术成功率、并发症发生率及随访情况进行统计分析。结果 8例患者闭塞段血管均成功开通。7例球囊成形结合植入支架术后即刻造影显示支架位置良好,支架内血流通畅,侧支血管减少;1例球囊成形结合支架植入术后发生急性支架内血栓形成,经导管直接溶栓2 d后复查造影显示支架内血栓完全溶解,血流恢复通畅。术后随访2~13个月,平均(4.7±3.9)个月。至末次随访,8例患者CT及下肢静脉造影均显示支架在位良好,其中3例支架内可见内膜轻度增生,但血流均通畅。结论 滤器长期置入可导致慢性下腔-髂静脉长段闭塞。球囊成形及支架植入可有效开通闭塞血管,是一种安全可行的方法。

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备注/Memo

备注/Memo:
(收稿日期:2016-12-29)
(本文编辑:边 佶)
更新日期/Last Update: 2017-11-16