单中心超声引导下血管内静脉支架植入术的经验

Sukyung Kwon, Hyangkyoung Kim, and Jang-Yong Kim
{"title":"单中心超声引导下血管内静脉支架植入术的经验","authors":"Sukyung Kwon, Hyangkyoung Kim, and Jang-Yong Kim","doi":"10.37923/phle.2020.18.1.8","DOIUrl":null,"url":null,"abstract":"Background: Intravascular ultrasound (IVUS) is known to be more effective in iliac vein stenting than venography. IVUS provides much more sufficient information for decision making and malposition of stent around narrow lesion. Material and Method: We retrospectively reviewed data of patients who underwent pharmacomechanical catheter directed thrombolysis (PCDT) or manual aspiration thrombectomy for acute iliofemoral deep vein thrombosis (DVT) from Aug 2016 to Feb 2019. The treatment procedures and outcomes of patients who underwent iliac vein stenting under IVUS guidance was evaluated. Result: A total of 18 patients underwent endovascular treatment under IVUS guidance for acute proximal DVT. 16 of 18 patients underwent PCDT. 17 patients underwent iliac vein stenting. In one case, there was no localized narrow lesion in IVUS, which was observed without stenting. The stent patency at 6 months was 93.8%. IVUS found residual thrombus in 3 cases, which needed additional PCDT. There was incomplete apposition of iliac vein stenting to vein wall in 2 patients, which needed additional balloon angioplasty. Conclusion: The IVUS can localize the narrow lesion and measure the vein diameter for vein stenting and evaluate post stenting wall apposition, which support early technical success and possible long term patency. (Ann Phlebology 2020;18:8-11)","PeriodicalId":417627,"journal":{"name":"Annals of Phlebology","volume":"141 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Intravascular Ultrasound Guided Venous Stenting in Single Center Experience\",\"authors\":\"Sukyung Kwon, Hyangkyoung Kim, and Jang-Yong Kim\",\"doi\":\"10.37923/phle.2020.18.1.8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Intravascular ultrasound (IVUS) is known to be more effective in iliac vein stenting than venography. IVUS provides much more sufficient information for decision making and malposition of stent around narrow lesion. Material and Method: We retrospectively reviewed data of patients who underwent pharmacomechanical catheter directed thrombolysis (PCDT) or manual aspiration thrombectomy for acute iliofemoral deep vein thrombosis (DVT) from Aug 2016 to Feb 2019. The treatment procedures and outcomes of patients who underwent iliac vein stenting under IVUS guidance was evaluated. Result: A total of 18 patients underwent endovascular treatment under IVUS guidance for acute proximal DVT. 16 of 18 patients underwent PCDT. 17 patients underwent iliac vein stenting. In one case, there was no localized narrow lesion in IVUS, which was observed without stenting. The stent patency at 6 months was 93.8%. IVUS found residual thrombus in 3 cases, which needed additional PCDT. There was incomplete apposition of iliac vein stenting to vein wall in 2 patients, which needed additional balloon angioplasty. Conclusion: The IVUS can localize the narrow lesion and measure the vein diameter for vein stenting and evaluate post stenting wall apposition, which support early technical success and possible long term patency. (Ann Phlebology 2020;18:8-11)\",\"PeriodicalId\":417627,\"journal\":{\"name\":\"Annals of Phlebology\",\"volume\":\"141 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-04-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Phlebology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.37923/phle.2020.18.1.8\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Phlebology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.37923/phle.2020.18.1.8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

背景:血管内超声(IVUS)在髂静脉支架置入术中比静脉造影更有效。IVUS为狭窄病变周围支架的决策和错位提供了更充分的信息。材料与方法:回顾性分析2016年8月至2019年2月接受药物机械导管溶栓(PCDT)或手动吸入性取栓治疗急性髂股深静脉血栓(DVT)的患者资料。对IVUS指导下行髂静脉支架植入术患者的治疗方法和结果进行了评价。结果:共有18例患者在IVUS指导下接受了急性近端DVT的血管内治疗。18例患者中16例行PCDT。17例患者行髂静脉支架植入术。1例IVUS未见局部狭窄病变,未行支架置入。6个月时支架通畅率为93.8%。IVUS发现残留血栓3例,需进一步行PCDT治疗。2例髂静脉支架置入与静脉壁不完全吻合,需行球囊血管成形术。结论:IVUS可以定位狭窄病变,测量静脉内径,评估静脉支架置入术后管壁对置,支持早期技术成功和长期通畅。(Ann Phlebology 2020;18:8-11)
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intravascular Ultrasound Guided Venous Stenting in Single Center Experience
Background: Intravascular ultrasound (IVUS) is known to be more effective in iliac vein stenting than venography. IVUS provides much more sufficient information for decision making and malposition of stent around narrow lesion. Material and Method: We retrospectively reviewed data of patients who underwent pharmacomechanical catheter directed thrombolysis (PCDT) or manual aspiration thrombectomy for acute iliofemoral deep vein thrombosis (DVT) from Aug 2016 to Feb 2019. The treatment procedures and outcomes of patients who underwent iliac vein stenting under IVUS guidance was evaluated. Result: A total of 18 patients underwent endovascular treatment under IVUS guidance for acute proximal DVT. 16 of 18 patients underwent PCDT. 17 patients underwent iliac vein stenting. In one case, there was no localized narrow lesion in IVUS, which was observed without stenting. The stent patency at 6 months was 93.8%. IVUS found residual thrombus in 3 cases, which needed additional PCDT. There was incomplete apposition of iliac vein stenting to vein wall in 2 patients, which needed additional balloon angioplasty. Conclusion: The IVUS can localize the narrow lesion and measure the vein diameter for vein stenting and evaluate post stenting wall apposition, which support early technical success and possible long term patency. (Ann Phlebology 2020;18:8-11)
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信