| 辅助性插管技术在左下肢深静脉血栓介入治疗中的应用研究 |
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| 引用本文： | 刘建,王秀平,王彬,姚中强,张岩,李晨.辅助性插管技术在左下肢深静脉血栓介入治疗中的应用研究[J].医学影像学杂志,2011,21(10):1553-1555. |
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| 作者姓名： | 刘建 王秀平 王彬 姚中强 张岩 李晨 |
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| 作者单位： | 江苏省徐州市第一人民医院介入科 江苏徐州 221002 |
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| 摘 要： | 目的:探讨左下肢深静脉血栓(LEDVT)导管溶栓治疗(CDT)中,常用插管技术失败情况下采用辅助性插管技术的应用价值。方法:对采用经右股静脉或/和右侧颈静脉等常用技术途径插管失败的35例LEDVT患者,6例采用同轴插管技术、8例采用翻山鞘技术、19例采用左(患)侧股静脉插管技术、2例采用微导管技术等4种辅助性插管技术。结果:同轴插管技术,插管成功率83.33%(5/6),翻山鞘技术:插管成功率75.00%(6/8),(患)侧股静脉插管技术:插管成功率89.47%(17/19)。微导管技术:插管成功率100%(2/2);四种方法总插管成功率85.71%(30/35)。经过3～14天导管溶栓治疗后血栓均基本溶解,下肢肿胀消退,未发生与插管有关的严重并发症。结论:本研究初步表明,LEDVT导管溶栓治疗中,在常用技术插管失败情况下,上述辅助性插管技术的应用是安全、有效的,能有效提高插管的成功率。
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| 关 键 词： | 深静脉血栓 左下肢 辅助性插管 介入治疗 |
The application of assistant catheterization technique in interventional treatment of deep venous thrombosis of left lower extremity |
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| LIU jian,WANG Xiu-ping,WANG Bing,YAO Zhong-qiang,ZHANG Yan,LI Chen.The application of assistant catheterization technique in interventional treatment of deep venous thrombosis of left lower extremity[J].Journal of Medical Imaging,2011,21(10):1553-1555. |
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| Authors: | LIU jian WANG Xiu-ping WANG Bing YAO Zhong-qiang ZHANG Yan LI Chen |
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| Institution: | LIU jian,WANG Xiu-ping,WANG Bing,YAO Zhong-qiang,ZHANG Yan,LI Chen Department of Interventional Radiology,The First People's Hospital of Xuzhou 221001,P.R.China |
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| Abstract: | Objective:To investigate the feasibility of assistant catheterization in interventional treatment of deep venous thrombosis of left lower extremity(LEDVT) after routine catheterization failed.Methods:In 35 patients with acute deep thrombosis of left lower extremity who failed in left iliac-femoral catheterization via the right femoral vein or the right jugular vein access,co-axial catheterization was performed in 6 patients(Method 1).Crosses sheath techniques were performed in 8 patients(Method 2).Bilateral... |
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| Keywords: | Deep venous thrombosis Left lower extremity Assistant catheterization technique Interventional treatment |
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