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Interventional treatment of iliofemoral venous obstruction through popliteal vein puncture
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF RADIOLOGY
- Issue:
- 9
- DOI:
- 10.3760/j.issn:1005-1201.2005.09.006
- Key Word:
- 血栓栓塞;放射学,介入性;髂股静脉;腘静脉
Abstract： 目的探讨经腘静脉穿刺介入治疗髂股静脉阻塞的临床应用价值.方法对58例髂股静脉阻塞经腘静脉穿刺行综合性介入治疗,其中经导管接触性溶栓术42例,经导管血栓抽吸术25例,机械性血栓清除术49例,球囊扩张腔内成形术41例,支架置入术35例,52例预先放置下腔静脉滤器.平均每人接受5.2项介入治疗.根据造影复查和体征将疗效分为优、良、中、差.出院后继续抗凝治疗1个月,抗血小板治疗6个月.门诊随访6个月时作造影复查.结果腘静脉穿刺技术成功率为96.7%(58/60).2例腘静脉穿刺失败均为盲穿者.出院时介入治疗疗效:优19例;良30例;中8例;差1例.42例取得6个月随访资料,其中优18例;良20例;中1例;差3例.结论经腘静脉穿刺介入治疗髂股静脉阻塞安全有效.
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