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首页> 外文期刊>VASA. >Iliac vein stenting guided by intravascular ultrasound without iodinated contrast medium.
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Iliac vein stenting guided by intravascular ultrasound without iodinated contrast medium.

机译：髂静脉支架植入血管内超声波没有碘化造影剂。

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摘要

Iliac vein compression syndrome, also known as May-Thurner Syndrome, is a type of vein reflux disorders which is often ignored due to lack of efficient diagnostic methods. The traditional gold standard of diagnosis is venography, but this has been challenged and largely replaced by intravascular ultrasound (IVUS). Here we report a case that a patient suffered with iodine anaphylaxis was successfully performed iliac vein stenting guided by using IVUS alone. This case provides the evidence that IVUS can offer necessary information for physicians in the diagnosis and treatment of iliac vein compression. We also find that balloon dilatation notch cannot precisely reflect the whole lesion, indicating it may be unreliable for diagnosis. Differ from the commonly accepted opinion, we find that comparing to IVUS, the notch of balloon dilatation cannot completely reflect the extent of lesion narrowness. Thus, we think the notch should not be used as a reference for seriousness of the lesion, and the diagnosis of stenosis cannot be ruled out even if there is no presence of notch.
机译：髂静脉压迫综合征,也被称为May-Thurner综合征,是一种静脉回流疾病通常忽略了由于缺乏有效的诊断方法。诊断静脉造影术的黄金标准,但是这受到了挑战,在很大程度上取代了血管内超声(治疗作用。情况下,一个病人碘速发型过敏反应是成功执行髂静脉支架单独使用IVUS引导下。提供了证据表明,IVUS可提供医生的必要信息的诊断和治疗髂静脉压缩。等级不能准确地反映整个病变,表明它可能是不可靠的诊断。不同于普遍接受的观点,我们发现比较IVUS,气球的缺口扩张不能完全反映的程度病变的狭窄。不应该被用作参考严重性吗病变的狭窄的诊断不能排除即使没有存在切口。

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