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髂股静脉术后支架内再狭窄因素的分析及处理

续慧民 高红霞

外科理论与实践2024,Vol.29Issue(6):481-486,6.
外科理论与实践2024,Vol.29Issue(6):481-486,6.DOI:10.16139/j.1007-9610.2024.06.04

髂股静脉术后支架内再狭窄因素的分析及处理

Management of in-stent restenosis after iliofemoral venous stenting

续慧民 1高红霞1

作者信息

  • 1. 山西白求恩医院(山西医学科学院)山西医科大学第三医院同济山西医院 血管外科,山西 太原 030032
  • 折叠

摘要

Abstract

Iliofemoral venous stent placement(IVS)is currently the first-line treatment for various acute and chronic deep vein obstruction diseases,effectively improving clinical symptoms in patients.However,in-stent restenosis(ISR)after IVS is a major cause of stent-occlusion issues and re-intervention.ISR is a complex pathophysiological process related to multiple risk factors,including preoperative stenosis severity,lesion characteristics,stent position,stent compression,inflow area of the stent,and other biomechanical factors.Currently,the management of ISR primarily involves balloon dilation,it is also essential to emphasize postoperative follow-up and monitoring,rational use of anticoagulant or antiplatelet medications,appropriate surgical indications,and choosing the right treatment method based on patient conditions.Laser ablation,intravascular endarterectomy devices,and radiation therapy may become new options for ISR treatment in the future.

关键词

髂股静脉支架植入术/再狭窄/危险因素

Key words

Iliofemoral venous stent placement(IVS)/In-stent restenosis(ISR)/Risk factor

分类

医药卫生

引用本文复制引用

续慧民,高红霞..髂股静脉术后支架内再狭窄因素的分析及处理[J].外科理论与实践,2024,29(6):481-486,6.

外科理论与实践

OACSTPCD

1007-9610

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