吸、溶栓术联合血管腔内成形术在布-加综合征合并下腔静脉血栓形成治疗中的应用

官泽宇; 高涌; 卢冉; 孙勇; 陈世远; 宋涛

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吸、溶栓术联合血管腔内成形术在布-加综合征合并下腔静脉血栓形成治疗中的应用

官泽宇 , 高涌 , 卢冉 , 孙勇 , 陈世远 , 宋涛

文章导航 > 蚌埠医学院学报 > 2012, 36 > 2: (151-153)

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吸、溶栓术联合血管腔内成形术在布-加综合征合并下腔静脉血栓形成治疗中的应用

1.
蚌埠医学院第一附属医院血管外科,安徽蚌埠,233004

作者简介: 官泽宇(1981-)，男，硕士研究生.

通讯作者: 高涌, Dr.gaoyong@163.com ;

基金项目:
安徽省科技计划资助项目(08020303090)

The application of thrombus aspirate technique and thrombolysis in Budd-Chiari syndrome complicated with inferior vena cava thrombus

1.
Department of Cardiovascular Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China

Corresponding author: GAO Yong, Dr.gaoyong@163.com ;

摘要: 目的：探讨吸、溶栓术联合血管腔内成形术治疗布-加综合征(Budd-Chiari syndrome，BCS)合并下腔静脉(IVC)血栓形成中的效果。方法：对11例BCS合并IVC血栓形成患者经股静脉穿刺行IVC造影，采用吸栓加溶栓技术消除血栓，后行腔内球囊扩张血管成形术。出院后采用彩色多普勒随访IVC有无再狭窄或闭塞。结果：11例均为IVC膜性阻塞，采用吸栓加溶栓后血栓完全消失7例；保留IVC导管溶栓4 d后血栓消失2例；7 d后消失2例；腔内球囊扩张血管成形术后均未出现肺栓塞症状。术后随访IVC通畅良好，无IVC再阻塞及血栓形成发生。结论：吸栓加溶栓术联合血管腔内成形术治疗BCS合并IVC血栓形成的效果良好。
- 布-加综合征 /
- 静脉血栓形成 /
- 吸栓 /
- 血管成形术,气囊
Abstract: Objective:To evaluate the therapeutic efficacy of thrombus aspiration technique and thrombolysis of intracavitary and percutaneous transluminal angioplasty(PTA) for Budd-Chiari syndrome(BCS) complicated with inferior vena cava(IVC)thrombus. Methods:The clinical data of 11 cases of BCS complicated with IVC thrombus were collected.Venipuncture through femoral vein and inferior vena cavography were performed,and aspiration thrombus technique and thrombolysis of intracavitary were used to eliminate thrombus.After angiography of IVC,the recanalization of IVC was performed,which was followed by thrombus aspiration technique and thrombolysis of intracavitary.Finally,IVC was dilated with percutaneous transluminal balloon angioplasty.The clinical observation was used by color Doppler post-discharge. Results:All the patients occlusion was barrier diaphragm before operation,adopting this treatment,7 patients thrombus was eliminated instantly,after using intraductal thrombolysis,2 patients thrombus was eliminated 4 days later,2 patients thrombus was eliminated 7 days later.And pulmonary embolism was not happened with percutaneous transluminal balloon angioplasty.In following-up visit,blood current of IVC was continuous,there had no re-occlusion or thrombus happening. Conclusions:The therapeutic efficacy of thrombus aspiration technique and thrombolysis of intracavitary and PTA for BCS complicated with IVC thrombus is safe and effective.
- Budd-Chiari syndrome /
- venous thrombosis /
- aspirate thrombus /
- angioplastyballon

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吸、溶栓术联合血管腔内成形术在布-加综合征合并下腔静脉血栓形成治疗中的应用

通讯作者: 高涌, Dr.gaoyong@163.com;

作者简介: 官泽宇(1981-)，男，硕士研究生.

1. 蚌埠医学院第一附属医院血管外科,安徽蚌埠,233004

收稿日期: 2011-03-11
网络出版日期: 2012-02-15

基金项目: 安徽省科技计划资助项目(08020303090)

关键词:

摘要: 目的：探讨吸、溶栓术联合血管腔内成形术治疗布-加综合征(Budd-Chiari syndrome，BCS)合并下腔静脉(IVC)血栓形成中的效果。方法：对11例BCS合并IVC血栓形成患者经股静脉穿刺行IVC造影，采用吸栓加溶栓技术消除血栓，后行腔内球囊扩张血管成形术。出院后采用彩色多普勒随访IVC有无再狭窄或闭塞。结果：11例均为IVC膜性阻塞，采用吸栓加溶栓后血栓完全消失7例；保留IVC导管溶栓4 d后血栓消失2例；7 d后消失2例；腔内球囊扩张血管成形术后均未出现肺栓塞症状。术后随访IVC通畅良好，无IVC再阻塞及血栓形成发生。结论：吸栓加溶栓术联合血管腔内成形术治疗BCS合并IVC血栓形成的效果良好。

English Abstract

The application of thrombus aspirate technique and thrombolysis in Budd-Chiari syndrome complicated with inferior vena cava thrombus

Corresponding author: GAO Yong, Dr.gaoyong@163.com

1. Department of Cardiovascular Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China

Received Date: 2011-03-11
Available Online: 2012-02-15

Abstract: Objective:To evaluate the therapeutic efficacy of thrombus aspiration technique and thrombolysis of intracavitary and percutaneous transluminal angioplasty(PTA) for Budd-Chiari syndrome(BCS) complicated with inferior vena cava(IVC)thrombus. Methods:The clinical data of 11 cases of BCS complicated with IVC thrombus were collected.Venipuncture through femoral vein and inferior vena cavography were performed,and aspiration thrombus technique and thrombolysis of intracavitary were used to eliminate thrombus.After angiography of IVC,the recanalization of IVC was performed,which was followed by thrombus aspiration technique and thrombolysis of intracavitary.Finally,IVC was dilated with percutaneous transluminal balloon angioplasty.The clinical observation was used by color Doppler post-discharge. Results:All the patients occlusion was barrier diaphragm before operation,adopting this treatment,7 patients thrombus was eliminated instantly,after using intraductal thrombolysis,2 patients thrombus was eliminated 4 days later,2 patients thrombus was eliminated 7 days later.And pulmonary embolism was not happened with percutaneous transluminal balloon angioplasty.In following-up visit,blood current of IVC was continuous,there had no re-occlusion or thrombus happening. Conclusions:The therapeutic efficacy of thrombus aspiration technique and thrombolysis of intracavitary and PTA for BCS complicated with IVC thrombus is safe and effective.