首页|血栓性髂静脉压迫综合征腔内治疗进展

血栓性髂静脉压迫综合征腔内治疗进展

扫码查看
血栓性髂静脉压迫综合征(TIVCS),是由于髂静脉受压引起髂静脉回流受阻和血液瘀滞后继发同侧下肢深静脉血栓形成(DVT)。若不进行有效治疗,急性期可致肺栓塞,危害患者生命健康;后期可发展为下肢静脉血栓后综合征(PTS),影响患者生活质量。目前,腔内治疗是主要治疗手段,包括下腔静脉滤器(IVCF)置入术、导管接触性溶栓(CDT)、机械性血栓清除术(PMT)、球囊血管成形术及支架置入术,但对于处理髂静脉狭窄时机仍存在争议。该文就TIVCS的腔内治疗进展作一综述。
Progress in endovenous treatment of thrombotic iliac vein compression syndrome
Thrombotic iliac vein compression syndrome(TIVCS)is caused by iliac vein compression,resulting in iliac vein return obstruction and blood stasis,followed by ipsilateral lower extremity deep venous thrombosis(LEDVT).Without effective treatment,it can lead to pulmonary embolism in the acute stage,seriously endangering the life and health,and may develop into lower extremity post thrombotic syndrome(PTS)in the later stage,which seriously affect the quality of life.At present,endovenous treatment is the main therapy,including inferior vena cava filter(IVCF)implantation,catheter directed thrombolysis(CDT),percutaneous mechanical thrombectomy(PMT),balloon angioplasty,and stent implantation.However,there is still controversy about the timing of iliac vein stenosis treatment,and there is no unified standard.Therefore,this article reviews the progress of endovenous treatment for TIVCS.

Thrombotic iliac vein compression syndromeDeep vein thrombosisEndovenous treatmentIliac vein stentThrombectomyProgress

叶飞霆、闫磊磊、张成德

展开 >

滨州医学院临床医学院,烟台 264003

滨州市人民医院血管外科,滨州 256610

血栓性髂静脉压迫综合征 深静脉血栓形成 腔内治疗 髂静脉支架 血栓清除术 进展

山东省中医药科技发展计划

2019-0928

2024

国际医药卫生导报
中华医学会,国际医药卫生导报社

国际医药卫生导报

影响因子:0.781
ISSN:1007-1245
年,卷(期):2024.30(12)