심부정맥 혈전증을 동반한 장골정맥 압박증후군의 중재적 치료
Endovascular Management of Iliac Vein Compression Syndrome Associated with Thrombosis
채현동, 박기혁, 최동락, 주대현, 이한일, 박성환, 유용운, 박기호, 성낙관,
소속 상세정보
채현동 ( Chae Hyun-Dong )
대구가톨릭대학교 의과대학 외과학교실
박기혁 ( Park Ki-Hyuk )
대구가톨릭대학교 의과대학 외과학교실
최동락 ( Choi Dong-Lak )
대구가톨릭대학교 의과대학 외과학교실
주대현 ( Joo Dae-Hyun )
대구가톨릭대학교 의과대학 외과학교실
이한일 ( Lee Han-Il )
대구가톨릭대학교 의과대학 외과학교실
박성환 ( Park Sung-Hwan )
대구가톨릭대학교 의과대학 외과학교실
유용운 ( Yoo Young-Oon )
대구가톨릭대학교 의과대학 외과학교실
박기호 ( Park Ki-Ho )
대구가톨릭대학교 의과대학 외과학교실
성낙관 ( Sung Nak-Kwan )
대구가톨릭대학교 의과대학 방사선과학교실
KMID : 0371320030640040338
Abstract
PURPOSE: We report our early experience, and the feasibility, of an endovascular technique for treating iliac vein compression syndrome, which is known to be caused by a chronic pulsating irritation of the iliac artery.
METHODS: Five patients presented with acute deep vein thromboses in their left legs, diagnosed by computed tomography (CT), and treated with a catheter-directed thrombolysis. The residual stenosis was treated by angioplasty, followed by stent placement. The results were evaluated, followed with duplex ultrasound.
RESULTS: The CT scan of the left iliac vein was compressed by the right iliac artery, with the thrombosis shown distal of the venous segment of the crossover point in all five cases. Success with the endovascular technique was achieved in all 5 patients. In the follow up, the duplex scan stent site and patency were examined. During the follow up period all the stents were patent, and no thrombosis recurred.
CONCLUSION: A CT scan is helpful in diagnosing iliac vein compression syndrome, with a thrombosis. The endovascular approach for its treatment should be considered affirmative due to its safety and simplicity.
키워드
장골정맥 압박증후군;스텐트
Iliac vein compression syndrome;Stent
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