Curative Effect of Endovascular Angioplasty in Treatment for Iliofemoral Venous Post-Thrombotic Syndrome_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Hui ,  YU Chaowen , GUAN Zeyu

Department of Vascular Surgery， The First Affiliated Hospital of Bengbu Medical College， Bengbu 233000， Anhui Province， China;

Corresponding author：

YU Chaowen, Email: doctoryu16@yahoo.com.cn

Keywords：

Iliofemoral venous post-thrombotic syndrome; Endovascular treatment; Curative effect

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Abstract Full text Figures/Tables Video References Cited by

Objective 　To evaluate the clinical effect of staging endovascular angioplasty in treatment for iliofemoral venous post-thrombotic syndrome （PTS）.
Methods 　The clinical data of 45 patients with iliofemoral venous PTS from May 2008 to October 2011 in this hospital were analyzed retrospectively. After the identification of the stenosis or occlusion by angiography via femoral vein by percutaneous puncture or incision puncture， recanalization of the occlusion was done by guide wire. Then the percutaneous transluminal angioplasty （PTA） was performed.
Results 　A total of 45 cases （45 legs） had been undergone PTA. The procedures were technically successful in all the patients. No serious complications such as lumen rupture happened. Follow-up time was 6-30 months with （18.06±3.12） months， the symptoms of the affected limb were obviously relieved in 31 cases， partly relieved in 10 cases， not relieved in 4 cases. Reexamination of venous angiography， 9 cases were cured， 18 cases were excellent， 14 cases were improved， 4 cases were ineffective. The total effective rate was 91.11% （41/45）.
Conclusion 　PTA is a safe and effective method in treatment for iliofemoral venous PTS.

Citation： WANG Hui,YU Chaowen,GUAN Zeyu,.. Curative Effect of Endovascular Angioplasty in Treatment for Iliofemoral Venous Post-Thrombotic Syndrome. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2013, 20(2): 187-190. doi: Copy

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1. Rosales A， Sandbaek G， Jørgensen JJ. Stenting for chronic postth-rombotic vena cava and iliofemoral venous occlusions：mid-term patency and clinical outcome[J]. Eur J Vasc Endovasc Surg， 2010， 40(2)：234-240.
2. 殷敏毅，黄新天，蒋米尔，等. 下肢深静脉血栓形成后综合征的外科治疗[J]. 中国现代普通外科进展， 2008， 11(1)：44-47.
3. Bond RT， Cohen JM， Comerota A，et al. Surgical treatment of moderate-to-severe post-thrombotic syndrome[J]. Ann Vasc Surg， 2012 Jun 29. [Epub ahead of print].
4. Padberg FT Jr. CEAP classification for chronic venous disease[J]. Dis Mon， 2005， 51(2-3)：176-182.
5. Antignani PL， Cornu-Thénard A， Allegra C， et al. Results of a questionnaire regarding improvement of ‘C’ in the CEAP classification[J]. Eur J Vasc Endovasc Surg， 2004， 28(2)：177-181.
6. 马玉奎，赵纪春，胡志，等. 下肢深静脉血栓形成的诊断及综合治疗[J]. 中国普外基础与临床杂志， 2008， 1(1)：56-58.
7. 蔡林刚，任为. 下肢深静脉血栓形成后综合征治疗的进展[J]. 中国普通外科杂志， 2008， 17(6)：599-601.
8. Kahn SR， Kearon C， Julian JA， et al. Predictors of the postthro-mbotic syndrome during long-term treatment of proximal deep vein thrombosis[J]. J Thromb Haemost， 2005， 3(4)：718-723.
9. Dale WA. Reconstructive venous surgery[J]. Arch Surg， 1979， 114(11)：1312-1318.
10. 刘勇，裴国献，姚旺祥，等. 下肢深静脉血栓形成后综合征手术治疗方法探讨[J]. 实用医学杂志， 2006， 22(8)：932-933.
11. 张晓丽，郑学军，赵学义，等. 53例下肢深静脉血栓形成后综合征的中西医结合治疗体会[A]. 中华中医药学会. 周围血管病分会25年会暨第四届学术大会论文集[C]. 济南：中华中医药学会， 2011：243-246.
12. Ramacciotti E， Gomes M， de Aguiar ET， et al. A cost analysis of the treatment of patients with post-thrombotic syndrome in Brazil[J]. Thromb Res， 2006， 118(6)：699-704.
13. 刘述政，张风秋. 外科手术治疗下肢深静脉血栓形成后综合征探讨[J]. 中国现代药物应用， 2009， 3(12)：71-72.
14. Niimi K， Kobayashi M， Narita H， et al. Evaluation of the efficacyof venous thromboembolism prophylaxis guideline implementation in Japan[J]. Surg Today， 2010， 40(12)：1129-1136.
15. Comerota AJ， Aldridge SC. Thrombolytic therapy for deep venousthrombosis：a clinical review[J]. Can J Surg， 1993， 36(4)：359-364.
16. 罗云峰，张普生. 大隐静脉交叉转流术治疗下肢深静脉血栓形成后综合征[J/CD]. 中国血管外科杂志：电子版， 2011， 3(1)：37-38.
17. Kahn SR. The post-thrombotic syndrome：progress and pitfalls[J]. Br J Haematol， 2006， 134(4)：357-365.
18. 赵文军，张锐利，王青，等. 髂股静脉血栓形成后综合征的腔内介入治疗[J]. 中国中西医结合外科杂志， 2011， 17(3)：264-266.
19. 蒋米尔，邓劼. 血管腔内技术在血栓形成后综合征防治中的应用[J]. 临床外科杂志， 2005， 9(9)：546-547.

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Curative Effect of Endovascular Angioplasty in Treatment for Iliofemoral Venous Post-Thrombotic Syndrome

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