AngioJet机械吸栓在下肢深静脉血栓形成中的应用及疗效观察  

AngioJet mechanical thrombectomy for lower deep venous thrombosis

作　　者：孙缙红[1] 张鸿坤[2] 吴子衡[2] 李栋林[2] 王晓辉[2] Sun Jinhong;Zhang Hongkun;Wu Ziheng;Li Donglin;Wang Xiaohui(Department of Vascular Surgery,Lishui Central Hospital,Lishui 323000,Chin)

机构地区：[1]丽水市中心医院血管外科,浙江省323000 [2]浙江大学医学院附属第一医院血管外科

出　　处：《中华普通外科杂志》2018年第7期578-581,共4页Chinese Journal of General Surgery

摘　　要：目的探讨机械性血栓清除装置——AngioJet治疗下肢深静脉血栓形成（deep vein thrombosis，DVT）的疗效。方法回顾性分析2016年2至12月浙江大学附属第一医院收治DVT行AngioJet机械血栓抽吸36例患者38条肢体的临床资料，通过观察术中造影结果和术后随访情况评估下肢静脉复通效果，随访内容分别为：患者的主诉症状、复诊时体征、下肢静脉超声或下肢静脉cT以及Villaha评分。结果术中造影结果发现38条肢体中32条（84．2％）肢体一期Ⅲ级溶解，轻微出血4例，术中无法耐受吸栓1例；术后6个月23例患者完成随访，其中21例（91．3％）髂股静脉通畅。11例完成1年随访，其中Villalta评分0～4分9例（81．8％）。结论AngioJet用于深静脉血栓吸栓是安全并且有效的，术后短期的髂股静脉通畅率及Villalta评分满意。Objective To evaluate percutaneous AngioJet thrombectomy in the treatment of iliofemoral deep venous thrombosis （ DVT ） . Methods A total of 36 patients with 38 legs of lower extremity DVT treated by AngioJet mechanical thrombeetomy from Feb 2016 to Dec 2016 were analyzed retrospectively. The effect of lower limb venous recanalization was evaluated by observing the intraoperative angiography and the results of postoperative follow-up including complaints, signs, and lower extremity venous ultrasound or CT and Villalta scores. Results Thrombosis was completely dissolved by AngiuJet thrombectomy device in 32 out of 38 legs （ 84. 2% ） at first stage. Slight bleeding occurred in 4 cases, 1 patient could not tolerate the operation. 23 patients were followed-up for 6 months, venous patency was present in 21 of 23 patients （91.3%）. 11 patients complete the one-year follow-up, 9 patients （81.8%） were in the 0 -4 Villaha group. Conclusions AngioJet can effectively and safely remove thrombus in the lower extremity deep venous system. It is especially advantageous for patients who have contraindications for thrombolysis with a satisfactory short term venous patency.

关 键 词：静脉血栓形成 机械溶栓 AngioJet 

分 类 号：R543.6[医药卫生—心血管疾病]