目的总结机械性血栓抽吸或配合球囊取栓与血管成形术及置管溶栓治疗下肢深静脉血栓形成（lower extremity deep venous thrombosis，LEDVT）的中、远期疗效。方法回顾性分析解放军第一四八医院2000年1月至2010年6月收治的1068例LEDVT患...目的总结机械性血栓抽吸或配合球囊取栓与血管成形术及置管溶栓治疗下肢深静脉血栓形成（lower extremity deep venous thrombosis，LEDVT）的中、远期疗效。方法回顾性分析解放军第一四八医院2000年1月至2010年6月收治的1068例LEDVT患者的临床资料。单纯介入取栓271例，介入取栓加动脉留置导管溶栓537例，介入取栓加足背静脉顺流溶栓260例；492例合并髂静脉严重狭窄或闭塞行血管成形治疗。结果l068例术后均随访36个月，水肿、色素沉着和慢性溃疡发生率10．26％、7．28％和1．55％；通畅无反流、通畅有反流、残余附壁血栓及闭塞率为84．25％、8．95％、4．3％、2．5％；胭静脉通畅率、残余血栓及闭塞率为93．32％、5．49％、1．19％。髂静脉支架植入36个月通畅率92．28％。结论LEDVT腔内治疗中、远期疗效显著，能最大程度保护静脉瓣膜功能，显著降低血栓后遗症发生率。展开更多
Purpose: The aim of the study was to evaluate the feasibility of a new venous-thrombus aspiration and autologous blood(auto-blood) reinfusion system.Materials and methods: We constructed the venous model from polyviny...Purpose: The aim of the study was to evaluate the feasibility of a new venous-thrombus aspiration and autologous blood(auto-blood) reinfusion system.Materials and methods: We constructed the venous model from polyvinyl chloride(PVC) tubes and three-way unions using a fresh clot of chicken blood as the venous thrombus. Eight French and 12 F aspiration catheters were used to aspirate the thrombus in the right–pulmonary-artery model, 8 French and 14 F aspiration catheters were used in the inferior–vena cava model, and 8 French and 10 F aspiration catheters were used in the left-–iliofemoral-vein model. A thrombus filtration and auto-blood reinfusion bottle was used to filter the thrombus and re-infuse auto-blood. We evaluated the thrombus aspiration capability of each catheter by comparing preaspirated with the post-aspirated thrombus volume, and we evaluated the difference in aspiration capability between the two catheters in each model by comparing their thrombus aspiration rates. We used Student’s t-test for statistical analysis.Results: Differences between pre-aspirated and post-aspirated thrombus volumes for each catheter were insignificant, as were those between the thrombus aspiration rates of the two catheters in each venous model. Using the thrombus aspiration and auto-blood reinfusion system, each aspiration catheter could fluently aspirate the thrombus out of the venous model.Conclusion: In this study, we designed a new venous-thrombus aspiration system. This system could be used to aspirate acute venous thrombi and re-infuse autologous blood.展开更多
文摘目的总结机械性血栓抽吸或配合球囊取栓与血管成形术及置管溶栓治疗下肢深静脉血栓形成（lower extremity deep venous thrombosis，LEDVT）的中、远期疗效。方法回顾性分析解放军第一四八医院2000年1月至2010年6月收治的1068例LEDVT患者的临床资料。单纯介入取栓271例，介入取栓加动脉留置导管溶栓537例，介入取栓加足背静脉顺流溶栓260例；492例合并髂静脉严重狭窄或闭塞行血管成形治疗。结果l068例术后均随访36个月，水肿、色素沉着和慢性溃疡发生率10．26％、7．28％和1．55％；通畅无反流、通畅有反流、残余附壁血栓及闭塞率为84．25％、8．95％、4．3％、2．5％；胭静脉通畅率、残余血栓及闭塞率为93．32％、5．49％、1．19％。髂静脉支架植入36个月通畅率92．28％。结论LEDVT腔内治疗中、远期疗效显著，能最大程度保护静脉瓣膜功能，显著降低血栓后遗症发生率。
文摘Purpose: The aim of the study was to evaluate the feasibility of a new venous-thrombus aspiration and autologous blood(auto-blood) reinfusion system.Materials and methods: We constructed the venous model from polyvinyl chloride(PVC) tubes and three-way unions using a fresh clot of chicken blood as the venous thrombus. Eight French and 12 F aspiration catheters were used to aspirate the thrombus in the right–pulmonary-artery model, 8 French and 14 F aspiration catheters were used in the inferior–vena cava model, and 8 French and 10 F aspiration catheters were used in the left-–iliofemoral-vein model. A thrombus filtration and auto-blood reinfusion bottle was used to filter the thrombus and re-infuse auto-blood. We evaluated the thrombus aspiration capability of each catheter by comparing preaspirated with the post-aspirated thrombus volume, and we evaluated the difference in aspiration capability between the two catheters in each model by comparing their thrombus aspiration rates. We used Student’s t-test for statistical analysis.Results: Differences between pre-aspirated and post-aspirated thrombus volumes for each catheter were insignificant, as were those between the thrombus aspiration rates of the two catheters in each venous model. Using the thrombus aspiration and auto-blood reinfusion system, each aspiration catheter could fluently aspirate the thrombus out of the venous model.Conclusion: In this study, we designed a new venous-thrombus aspiration system. This system could be used to aspirate acute venous thrombi and re-infuse autologous blood.
