AngioJet血栓抽吸联合支架成形治疗腋静脉-锁骨下静脉血栓形成1例
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摘要
目的分析AngioJet血栓抽吸联合支架成形治疗腋静脉-锁骨下静脉血栓形成的安全性和可行性。方法采用AngioJet血栓抽吸联合支架成形技术治疗1例59岁左上肢深静脉血栓病例。血栓抽吸减负后于残余狭窄病变处行支架植入,术后腋静脉-锁骨下静脉回流通畅。结果患者术后左上肢肿胀消失,无手术并发症,术后12个月复查静脉超声提示支架通畅。结论该技术治疗腋静脉-锁骨下静脉血栓形成安全可行,需要更多治疗例数和远期随访结果观察。
Objective To evaluate the safety and feasibility of AngioJet thrombus aspiration combined with stenting angioplasty in treating axillary-subclavian vein thrombosis. Methods AngioJet thrombus aspiration combined with stenting angioplasty was adopted to treat deep vein thrombosis of left upper limb in a59-year-old male. After thrombus aspiration with a reduction in thrombus load, stent implantation at the residual stenotic site was carried out. After the treatment, the axillary-subclavian vein flow was unobstructed.Results After the treatment, the left upper limb swelling disappeared, and no procedure-related complications occurred. Reexamination of venous ultrasound at 12 months after the treatment showed that the implanted stent was unobstructed. Conclusion For the treatment of axillary-subclavian vein thrombosis,AngioJet thrombus aspiration combined with stenting angioplasty is safe and feasible, although more number of clinical treatment cases and long-term observations are need before its clinical value can be clarified.
Objective To evaluate the safety and feasibility of AngioJet thrombus aspiration combined with stenting angioplasty in treating axillary-subclavian vein thrombosis. Methods AngioJet thrombus aspiration combined with stenting angioplasty was adopted to treat deep vein thrombosis of left upper limb in a59-year-old male. After thrombus aspiration with a reduction in thrombus load, stent implantation at the residual stenotic site was carried out. After the treatment, the axillary-subclavian vein flow was unobstructed.Results After the treatment, the left upper limb swelling disappeared, and no procedure-related complications occurred. Reexamination of venous ultrasound at 12 months after the treatment showed that the implanted stent was unobstructed. Conclusion For the treatment of axillary-subclavian vein thrombosis,AngioJet thrombus aspiration combined with stenting angioplasty is safe and feasible, although more number of clinical treatment cases and long-term observations are need before its clinical value can be clarified.
引文
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[6]郭建明,谷涌泉,郭连瑞,等.机械血栓抽吸装置AngioJet治疗髂股动脉支架内血栓形成一例[J].国际外科学杂志,2015,42:111-112.
[7]卞路,殷世武,倪才方,等.AngioJet血栓清除系统治疗急性肢体缺血19例[J].介入放射学杂志,2018,27:123-127.
[8]公茂峰,顾建平,陈国平,等.AngioJet血栓清除术在急性下肢动脉缺血治疗中的应用[J].介入放射学杂志,2017,26:509-513.
[2]Elyssa EE,Susan RK.The post-thrombotic syndrome after upperextremity deep venous thrombosis in adults:a systematic review[J].Thromb Res,2006,117:609-614.
[3]Li H,Wang SX,Wang W,et al.Thrombosis of the superior vena cava and auxilary branches in patients with indwelling catheterization of the internal jugular vein[J].Chin Med J,2009,122:692-696.
[4]Joffe HV,Goldhaber SZ.Upper-extremity deep vein thrombosis[J].Circulation,2002,106:1874-1880.
[5]Sabeti S,Schillinger M,Mlekusch W,et al.Treatment of subclavian-axillary vein thrombosis:long-term outcome of anticoagulation versus systemic thrombolysis[J].Thromb Res,2002,108:279-285.
[6]郭建明,谷涌泉,郭连瑞,等.机械血栓抽吸装置AngioJet治疗髂股动脉支架内血栓形成一例[J].国际外科学杂志,2015,42:111-112.
[7]卞路,殷世武,倪才方,等.AngioJet血栓清除系统治疗急性肢体缺血19例[J].介入放射学杂志,2018,27:123-127.
[8]公茂峰,顾建平,陈国平,等.AngioJet血栓清除术在急性下肢动脉缺血治疗中的应用[J].介入放射学杂志,2017,26:509-513.