3DVT DVT, PTA) DVT 2.3 PTA. 7 d

Μέγεθος: px

Εμφάνιση ξεκινά από τη σελίδα:

Download "3DVT DVT, PTA) DVT 2.3 PTA. 7 d"

Ἑρμογένης Ασπάσιος
5 χρόνια πριν
Προβολές:

1 J Intervent Radiol 2011 Vol.20 No Special comment DVT :R654.4 :A : X(2011) The consensus among Chinese interventional experts on the standard of interventional therapy for deep venous thrombosis of lower extremity Academic Group of Interventional Radiology Radiology Branch of Chinese Medical Association Department of Radiology First Affiliated Hospital of Nanjing Medical University Nanjing China Corresponding Author: GU Jian-ping XU Ke TENG Gao-jun Abstract This paper aims to introduce the indications and contraindications of catheter-directed thrombolysis percutaneous mechanical thrombectomy balloon angioplasty and stent implantation for deep venous thrombosis of lower extremity and also aims to summarize and to illustrate the manipulating procedure the points for attention the perioperative complications and preventions in performing different kind of interventional technique. Great importance is attached to the interventional therapy for both acute and subacute deep venous thrombosis of lower extremity in order to effectively reduce the occurrence of postthrombosis syndrome. (J Intervent Radiol : ) Key words Deep venous thrombosis; Interventional therapy; standard (deep venous thrombosis DVT) DVT [3] :1 ;2 (pulmonary embolism PE) DVT PE (venous DVT :1 14 d thromboembolism VTE) DVT ;2 15 ~ 28 d;3 28 d ;4 PTS ;5 (postthrombosis syndrome PTS) [1-2] 1 DVT 1.1 DVT (1) DVT; (2) 1.2 DVT 1960 Greenfield X 1984 Sniderman [4] : DVT;2 : ;3 DVT DVT (PTA) DVT : (2007BAI05B04) 4 1 : : ); ) )

2 J Intervent Radiol 2011 Vol.20 No.7 2 : DVT Homan Neuhof : DVT D- (D-D) : (ELISA) D-D > 500 μg / L ; DVT : (PT) (INR) DVT PTA (FIB) (APTT) 4 : (TT) [5-11] DVT [ ] DVT; 2 DVT; 3DVT ) DVT 1 ; DVT 2 ; DVT DVT ;4 > 180 / 110 mmhg);575 [14-15] 2.2 (MSCTA) DVT DVT; MRA MRA DVT; 2 DVT; 3 [16-18] 2.3 PTA (Cockett May-Thurner );2 ;3 [24] ;4 PTA) ;2 4.1 ; ; CTA CT [19-21] [22] ) 4 ~ [23] ~ 100 u / d 7 d : 1 [25-26] ;2

3 J Intervent Radiol 2011 Vol.20 No : [27] [1128] : ; : 8 ~ 12 F ml 30 ml : : 7 ~ 8 F 4 ~ 5 F 200 ml 3 DVT 4 > 30% PTA PTA: :1 DVT ~ 12 mm ; 8 ~ 10 mm PTA 1 ~ 3 min DVT [29-31] : ~ 14 mm ~ 12 mm mm ; [ ] ~ 2 mm ) DVT )

4 J Intervent Radiol 2011 Vol.20 No PE PTA PTA 30 cm 20 PE ~ 3 d PE PTA PTA PTA DVT ;6 12 PTA ; PTA DVT [35] CT DVT DVT : PE DVT 1.0 cm : 1.0 ~ 1.5 cm : 1.5 cm < 1.5 ~ 2.0 cm : 3 [32-34] > 2.0 cm [1736] DVT DVT ; DVT 3 ~ 7 d

5 J Intervent Radiol 2011 Vol.20 No DVT [9] Grunwald MR Hofmann LV. Comparison of urokinasealteplase and reteplase for catheter-directed thrombolysis of deep venous thrombosis[j]. J Vasc Interv Radiol : : [10] Mewissen MW Seabrook GR Meissner MH et al. Catheterdirected thrombolysis for lower extremity deep venous thrombosis: ); ); report of a national multicenter registry [J]. Radiology 1999 ); 211: [11]. ); [J] : ); [12] Gogalniceanu P Johnston CJ Khalid U et al. Indications for ); thrombolysis in deep venous thrombosis[j]. Eur J Vasc Endovasc ); Surg : [13]. ); [J] : ); [14]. - [M]. ); : ); [15]. Amplatz ); [J] : [16]. [M]. : ); ); [17]. ); [J] : ); [18]. ); ) [J] : [ ] [1]. [M]. : 2007: [2]. ). : [21]. CT [G]. [J] : 2004: [3]. [22]. MR [M]. : DSA [J]. [4] Sniderman KW Bodner L Saddekni S et al. Percutaneous : embolectomy by transcatheter aspiration. Radiology : Work in progress [J]. [5] Gasparis AP Labropoulos N Tassiopoulos AK et al. Midterm follow-up after pharmacomechanical thrombolysis for lower extremity deep venous thrombosis [J]. Vasc Endovascular Surg : [6] Smalberg JH Spaander MV Jie KS et al. Risks and benefits of transcatheter thrombolytic therapy in patients with splanchnic venous thrombosis [J]. Thromb Haemost : [7] Martinez Trabal JL Comerota AJ LaPorte FB et al. The quantitative benefit of isolated segmental pharmacomechanical thrombolysis (ISPMT) for iliofemoral venous thrombosis [J]. J Vasc Surg : [8] Kim HS Preece SR Black JH et al. Safety of catheter-directed thrombolysis for deep venous thrombosis in cancer patients [J]. J Vasc Surg : [19] CT [J] : [20]. CT [J] : : [23]. [J] : [24]. [J] : [25]. [J] : [26]. [J] : [27]. - [J] : [28]. [J] [29] Lou WSh Gu JP He X et al. Endovascular treatment for iliac vein compression syndrome: a comparison between the presence and absence of secondary thrombosis [J]. Korean J Radiol

6 J Intervent Radiol 2011 Vol.20 No : [30] Vedantham S Vessely TM Sicard GA et al.pharmacomechanical thrombolysis and early stent placement for iliofemoral deep vein thrombosis[j]. J Vasc Interv Radiol : [31] O Sullivar GJ Semba CP Bittner CA et al. Endovascular management of iliac vein compression (May-thurner) syndrome [J]. J Vasc Interv Radiol : [32] Savader SJ Trerotola SO. Venous interventional radiology with clinical perspectives[m]. New York Sluttgart: Thieme 2nd ed [33] Fisoli JK Sze D. Mechanical thrombectomy for the treatment of lower extremity deep vein thrombosis [J]. Radiol : Tech Vasc Interv [34] Sharafuddin MJ Gu X Han YM et al. Injury potential to venous valves from the Amplatz thrombectomy device[j]. J Vasc Interv Radiol : [35]. Abrams [M]. : [36]. 576 [J] : : )!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Case report ; ; :R543.1 :D : X(2011) Endovascular exclusion with double-chimney technology for treating aortic arch pathologies FENG Rui JING Zai-ping ZHAO Zhi-qing WEI Xiao-long LU Hua WANG Liang. Department of Vascular Surgery Changhai Hospital Second Military Medical University; Institute of Vascular Surgery of PLA Shanghai China Corresponding author: JING Zai-ping jingzp@xueguan.net Key words aortic; endo vascular exclusion; double-chimney technology (endovascular exclusion EVE) CT Stanford B 2 cm ; 6 cm [12] EVE ; 1 EVE CT 2.1 cm EVE 12 mm EVE (stent-graft SG) 1) : ( ); 12 h 6 CT (06G58) : SG 2) : jingzp@xueguan.net (SINUS OptiMed Medical

Σχετικά έγγραφα

0. 35g kg ~ 2. 0cm 10min. Nar- 15μL 6mm

0. 35g kg ~ 2. 0cm 10min. Nar- 15μL 6mm 22 Journal of Ningxia Medical University 34 1 2012 1 1674-6309 2012 01-0022 - 03 1 2 1 3 1. 750004 2. 750004 3. 750004 60 SD 300 ± 20 g 5 S ICH M 2 M 4 M 8 12 Deinsberger S M 2 4 8 - ICH 10min 2 4 8 mg