AngioJet治疗急性髂股静脉血栓形成的早期疗效分析  

Early efficacy of percutaneous Angio Jet thrombectomy for acute iliofemoral deep venous thrombosis

作　　者：王磊[1] 郭松林[1] 阴继凯[1] 王栋[1] 陈亚峰[1] 贺加星 张章[1] 

机构地区：[1]第四军医大学附属唐都医院普通外科,西安710038

出　　处：《中国血管外科杂志（电子版）》2016年第4期303-305,313,共4页Chinese Journal of Vascular Surgery(Electronic Version)

摘　　要：目的探讨机械性血栓清除装置Angio Jet治疗急性髂股静脉血栓形成的早期疗效。方法回顾性分析2015年3月至2016年1月期间我科收治的42例急性(病程≤14天)髂股静脉血栓形成患者Angio Jet吸栓治疗的临床资料。通过静脉造影计算血栓清除率来评价即时疗效,通过1、6个月随访多普勒超声检查深静脉通畅率来评价早期疗效。结果患者平均血栓清除率为(86.4±29.7)%,成功溶解(血栓清除率≥50%)37例(88.1%)。1、6个月深静脉通畅率分别为97.6%及80.6%。无手术相关严重并发症发生。结论急性髂股静脉血栓形成使用Angio Jet机械性血栓抽吸即时及早期疗效显著而且安全。Objective To explore the early and medium -term efficacy of percutaneous AngioJet thrombectomy for acute iliofemoral deep venous thrombosis in the lower extremity. Methods The clinical data of 42 patients with acute iliofemoral deep venous thrombosis treated by AngioJet from March 2015 to January 2016 were analyzed retrospectively. Immediate efficacy was assessed with thrombus removal rate based on venography. Early efficacy was assessed with 1 month and 6 months follow -up of deep vein patency examined by duplex ultrasound. Results The mean thrombus removal rate was （8 6 .4 ± 2 9 .7 ）%, and successful removal （ ^ 50%） was obtained in 37 patients. Deep vein patency after 1 month and 6 months were 97.6% and 80.6% , respectively. No procedure -related major complications happened. Conclusion Percutaneous AngioJet thrombectomy used for acute iliofemoral deep venous thrombosis is safe and effective. It can increase the patency of lower extremity deep vein patency.

关 键 词：深静脉血栓形成 下肢 机械性血栓清除 治疗结果 

分 类 号：R654.4[医药卫生—外科学]