腔内治疗联合股浅静脉瓣膜缩窄术治疗Cockett综合征42例

目的探讨腔内治疗联合股浅静脉瓣膜缩窄术治疗Cockett综合征的疗效。方法42例Cockett综合征并有股静脉严重倒流的患者,Seldinger技术穿刺左股静脉置入导管鞘及交换导丝引入球囊扩张管,反复扩张后置入自膨式Z型支架或Wallstent支架。5~7d后以ePTFE人工血管片缩窄股浅静脉第一对瓣膜。结果置入支架后造影见病变髂静脉恢复通畅,支架到位及扩张良好。经随访8 ~45个月, 38例肢体肿胀完全消失,无浅静脉曲张; 3例仍伴有轻度的肢体凹陷性水肿。1例术后2个月支架内血栓形成经溶栓治疗而愈。结论本方法治疗Cockett综合征创伤小,操作简单、安全且具有良好的近、中期效果。

Endovascular stenting combined with external constriction valvuloplasty of superficial femoral vein for the treatment of Cockett syndrome

Objective To evaluate the effect of endovascular stenting combined with external constriction valvuloplasty of superficial femoral vein for the treatment of Cockett syndrome. MethodsForty two cases of Cockett syndrome with femoral veins reflux were treated with iliac vein stent implantation or venoplasty, and superficial femoral veins were constricted with ePTFE graft patch at the level of the first valves. ResultsThe iliac veins were all patent after stent implantation. A follow up of 8 to 45 months revealed that limb swelling disappeared in 38 cases with no varicose. Slight limb swelling was left over in 3 cases. Stent thrombosis developing in one case two months later subsided after a successful thrombolysis. ConclusionThe procedure is mini invasive, safe and effective for the treatment of Cockett syndrome.