Comprehensive treatment and imaging performance of Cockett's syndrome
Objective To study appropriate therapeutic strategies and early imaging performance of Cockett's syndrome. Methods 62 cases were diagnosed as Cockett's syndrome by enhanced CT scan. Among of them 4 cases accepted conservative treatment, percutaneous transluminal angioplasty(PTA) was performed in 36 cases and then 28 cases underwent endovascular stent implantation. Later, 23 cases underwent saphenous vein ligation and stripping in second-stage. 21 cases complicated with acute deep venous thrombosis(DVT) of left lower extremity were placed inferior vena cava filter secondly accepted indwelling catheter thrombolysis therapy. After catheter thrombolysis therapy, 14 cases underwent percutaneous transluminal angioplasty and endovascular stent implantation in 12 cases. All the patients were follow-up for 8-12 months. Results The varicose veins of limbs disappeared, the ulcers healing and the skin hyperpigmentation clearly better. Lower limb swelling disappeared in 19 of 21 cases and obviously relieved in 2 cases. Conclusion The CT image of left lower extremity could clarify Cockett's syndrome diagnosis and evaluate the stenosis and hemodynamic change of the iliac and femoral vein. Timely comprehensive treatment for Cockett's syndrome could effectively reduce the later period complications of Cockett's syndrome.
NETL
NSTL
万方数据
维普
