外科理论与实践2025，Vol.30Issue(1)：61-65,5.DOI:10.16139/j.1007-9610.2025.01.11
股深静脉血栓清除在急性下肢深静脉血栓形成腔内治疗中的价值
Clinical value of profunda femoral vein thrombosis clearance in endovascular treatment of acute lower extremity deep vein thrombosis
摘要
Abstract
Objective To evaluate the safety and efficacy of profunda femoral vein thrombosis clearance in endovascular treatment of acute lower extremity deep venous thrombosis(DVT).Methods From January 2022 to September 2023,clinical data of acute lower extremity DVT patients who underwent percutaneous mechanical thrombectomy(PMT)for profunda femoral vein thrombosis were retrospectively analyzed.The 12-month primary patency rate of iliofemoral vein and incidence of post-thrombotic syndrome(PTS)were analyzed.Results Twenty-two patients were included in the study,and all patients underwent PMT for profunda femoral vein thrombosis.Five patients were treated through the contralateral common femoral vein via crossover approach,and 17 patients were treated through the contralateral common femoral vein combined with the ipsilateral deep vein approach.The 12-month primary patency rate of iliofemoral vein was 90.9%(20/22),and the incidence of PTS was 9.1%(2/22).Conclusions For patients with acute lower extremity DVT undergoing endovascular treatment,PMT for profunda femoral vein thrombosis is safe and effective,achieving good primary patency of iliofemoral vein and low incidence of PTS.关键词
股深静脉/急性下肢深静脉血栓形成/经皮机械血栓清除/通畅率/血栓形成后综合征Key words
Profunda femoral vein/Acute lower extremity deep vein thrombosis(DVT)/Percutaneous mechanical thrombectomy(PMT)/Patency/Post-thrombotic syndrome(PTS)分类
医药卫生引用本文复制引用
倪其泓,陈佳佺,郭相江,叶猛,张岚..股深静脉血栓清除在急性下肢深静脉血栓形成腔内治疗中的价值[J].外科理论与实践,2025,30(1):61-65,5.基金项目
国家自然科学基金(82370495) （82370495）
仁济医院IIT项目(IIT-2023-0254) （IIT-2023-0254）
