下腔静脉节段闭塞型Budd-Chiari综合征应用颈—股静脉会师法行下腔静脉开通术30例报告  

Interventional treatment of ivc Budd-Chiari syndrome:guide-wries reallgnment angioplasty of segmental occlusions IVC with jugular vein and femoral vein approaches

作　　者：付信军[1] 

机构地区：[1]山东省苍山县人民医院介入科,山东277700

出　　处：《当代医学》2009年第11期161-162,共2页Contemporary Medicine

摘　　要：目的研究Budd-Chiari综合征介入治疗的新技术,应用颈-股静脉会师法行下腔静脉开通术。方法30例下腔静脉节段闭塞型Budd-Chiari综合征患者采用经静脉途径行近心端造影并留置导管作为穿通闭塞下腔静脉的靶标记,然后经股静脉途径应用房间隔穿刺针行下腔静脉开通术,球囊扩张和内支架植入。结果30例患者采用此项技术全部取得成功临床症状消失,未出现并发症。结论颈-股静脉会师法行下腔静脉开通术在下腔静脉节段闭塞型Budd-Chiari综合征介入治疗中是一种安全和实用的方法。Objective To introduce a new method of guide-wire realignment angioplasty of IVC for Budd-Chiari syndrome with clinical evaluation. Methods Guide-pipe was inserted in to right atrial on jugular vein approach and acked as the target maker penetrating the inferior vena cava occlusion ,trip interval puncture needle was inserted into femoral vein passing through IVC and after penetration of IVC ,the occlusive segment was undertaken balloon dilation, the stents placement with femoral vein approach in 30 cases .Results Successful angioplasty of IVC was aboptedc with realignment interventional technique in 30 cases without simultaneously symptom release. Conclusion guide-wries realignment angioplasty of IVC especially for segmental occlusions with jugular vein approach and femoral vein approach is safe and practical method.

关 键 词：BUDD-CHIARI综合征 下腔静脉 介入放射学 

分 类 号：R654.3[医药卫生—外科学]