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首页> 外文期刊>Perspectives in vascular surgery and endovascular therapy. >Catheter-directed thrombectomy and thrombolysis for symptomatic lower-extremity deep vein thrombosis: review of current interventional treatment strategies.
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Catheter-directed thrombectomy and thrombolysis for symptomatic lower-extremity deep vein thrombosis: review of current interventional treatment strategies.

机译：导管定向血栓切除术和溶栓术治疗有症状的下肢深静脉血栓形成：当前介入治疗策略的回顾。

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摘要

Deep vein thromboses (DVT) along with its clinical sequelae represent a major health care challenge in our society. An acute massive DVT can result in pulmonary embolism resulting in sudden death. Although oral or systemic anticoagulation therapy may minimize thrombus propagation, it remains ineffective in removing thrombus burden and consequently does not prevent postthrombotic syndrome. Recent advances in catheter-based interventions have led to the development of a variety of minimally invasive endovascular strategies to remove venous thrombi. These technologies use various principles, including catheter-directed thrombolytic infusion, rheolytic thrombectomy, mechanical fragmentation, or ultrasound energy to remove intraluminal thrombi. This article reviews the current advances in this technology and discusses the techniques of percutaneous treatment strategies of venous thrombotic conditions using various devices, including the AngioJet Power Pulse system, Trellis, and ultrasound-accelerated EkoSonic system. Finally, the authors' institutional experiences using these interventional treatment strategies in patients with acute and chronic DVT are discussed.
机译：深静脉血栓形成（DVT）及其临床后遗症是我们社会面临的主要医疗保健挑战。急性大量DVT可能导致肺栓塞，导致猝死。尽管口服或全身性抗凝治疗可以最大程度地减少血栓的传播，但仍无法有效地消除血栓负担，因此不能预防血栓形成后综合征。基于导管的干预措施的最新进展导致开发了多种微创血管内策略来去除静脉血栓。这些技术使用各种原理，包括导管定向溶栓治疗，流变血栓切除术，机械破碎或超声能量去除管腔内血栓。本文回顾了该技术的最新进展，并讨论了使用各种设备（包括AngioJet Power Pulse系统，网格和超声加速的EkoSonic系统）对静脉血栓形成情况进行经皮治疗策略的技术。最后，讨论了作者在急性和慢性DVT患者中使用这些介入治疗策略的机构经验。

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