[Endovascular treatment of chronic pelvic vein obstruction].

Innere Medizin (Heidelberg, Germany) Pub Date : 2025-03-01 Epub Date: 2025-02-21 DOI:10.1007/s00108-025-01853-0
Michael Lichtenberg, Houman Jalaie
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Abstract

Chronic venous obstructions frequently lead to a substantial reduction in the quality of life of affected patients and as a result to a burden on the healthcare system. Endovascular recanalization and stent implantation of iliofemoral venous obstructions are successful minimally invasive approaches; however, there are still open questions with respect to patient selection, technical procedures and long-term results. This review article summarizes the current state of knowledge on the interventional treatment of postthrombotic syndrome (PTS), particularly on the development of endovascular procedures and stent implantation. Criteria for the patient selection, details of the procedure and the characteristics of special venous stents are discussed.

慢性盆腔静脉阻塞的血管内治疗。
慢性静脉阻塞经常导致受影响患者生活质量的大幅下降,从而给医疗保健系统带来负担。髂股静脉阻塞的血管内再通和支架置入术是成功的微创入路;然而,在患者选择、技术程序和长期结果方面仍有悬而未决的问题。本文综述了血栓后综合征(PTS)介入治疗的现状,特别是血管内手术和支架植入术的发展。讨论了患者选择的标准,手术的细节和特殊静脉支架的特点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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