髂靜脈支架置入成功治療腰椎骨贅致左髂靜脈閉塞1例報道_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

黎萬華 , 王哲 , 汪飛宇 , 曾秋 ,  趙渝

重慶醫科大學附屬第一醫院血管外科（重慶 400016）;

Corresponding?author：

趙渝, Email: 820994765@qq.com

Keywords：

髂靜脈壓迫綜合征; 球囊擴張; 支架置入; 腰椎骨贅

DOI：

10.7507/1007-9424.202210028

Video：

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目的總結腰椎骨贅形成致左髂靜脈閉塞的不典型髂靜脈壓迫綜合征的診斷及治療方法。方法收集重慶醫科大學附屬第一醫院收治的1例由第4、5腰椎骨贅致左髂靜脈閉塞的非典型髂靜脈壓迫綜合征患者采用血管腔內治療后第1、2、9、17個月時髂靜脈彩色多普勒超聲隨訪結果以及術后第9個月時患者雙下肢CT靜脈造影評估的患者髂靜脈支架通暢情況。結果患者在術后17個月的隨訪期間，髂靜脈支架通暢，髂靜脈支架并未因骨贅壓迫發生明顯狹窄及支架內血栓形成，患者下肢癥狀較前明顯改善。結論對于此類非典型髂靜脈壓迫綜合征患者術前檢查至關重要，血管腔內治療為有效治療手段，能重建髂靜脈流出道，有效改善患者靜脈高壓癥狀。

Citation： 黎萬華, 王哲, 汪飛宇, 曾秋, 趙渝. 髂靜脈支架置入成功治療腰椎骨贅致左髂靜脈閉塞1例報道. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(4): 467-470. doi: 10.7507/1007-9424.202210028 Copy

1.	Farina R, Foti PV, Pennisi I, et al. Vascular compression syndromes: a pictorial review. Ultrasonography, 2022, 41(3): 444-461.
2.	Enta Y, Tanaka A, Saigan M, et al. Iatrogenic iliac vein compression syndrome caused because of inappropriate length and positioning of vascular graft. Ann Vasc Dis, 2020, 13(2): 194-197.
3.	Young L, Kwon J, Arosemena M, et al. Symptomatic compression of right iliac vein after right iliac artery stent placement. J Vasc Surg Venous Lymphat Disord, 2017, 5(5): 735-738.
4.	Gupta R, Mathijs E, Hart J, et al. May-Thurner syndrome and lymphedema reconstruction. Plast Reconstr Surg Glob Open, 2022, 10(6): e4377. doi: 10.1097/GOX.0000000000004377.
5.	Thomas B, Barreau X, Pointillart V, et al. Endovascular embolization of a nondominant vertebral artery compressed by an osteophyte to prevent recurrence of vertebrobasilar infarctions. J Stroke Cerebrovasc Dis, 2015, 24(9): e257-e259. doi: 10.1016/j.jstrokecerebrovasdis.2015.05.033.
6.	Ikedo T, Nakamura K, Sano N, et al. Extracranial internal carotid artery dissection caused by compression from a giant osteophyte due to atlantoaxial osteoarthritis: case report. J Neurosurg Spine, 2017, 27(4): 410-414.
7.	Ellauzi H, Cardella J, Zafar MA, et al. Massive sternal osteophyte compressing aortic arch branch graft. Aorta (Stamford), 2021, 9(6): 231-232.
8.	Shin DS, Mokkarala M, Monroe E. Osteophytic iliac venous compression: technical considerations for a bony May-Thurner syndrome variant. J Clin Interv Radiol ISVIR, 2018, 2: 95-100.
9.	Wasserburger J, Haponyuk A, Modhia UM, et al. Lumbosacral exostosis as a rare cause of iliac vein compression and significant limb swelling. J Vasc Surg Cases Innov Tech, 2019, 5(4): 529-531.
10.	Park JY, Park KM, Cho SG, et al. Atypical iliac vein compression in patients with symptomatic May-Thurner syndrome. Diagn Interv Radiol, 2021, 27(3): 372-377.
11.	Gonzalez-Urquijo M, Torrealba J, Vargas JF, et al. Extrinsic venous compression secondary to spine osteophytes. Vascular, 2022: 17085381221084815. doi: 10.1177/17085381221084815.
12.	Dabir D, Feisst A, Thomas D, et al. Physical properties of venous stents: an experimental comparison. Cardiovasc Intervent Radiol, 2018, 41(6): 942-950.

1. Farina R, Foti PV, Pennisi I, et al. Vascular compression syndromes: a pictorial review. Ultrasonography, 2022, 41(3): 444-461.
2. Enta Y, Tanaka A, Saigan M, et al. Iatrogenic iliac vein compression syndrome caused because of inappropriate length and positioning of vascular graft. Ann Vasc Dis, 2020, 13(2): 194-197.
3. Young L, Kwon J, Arosemena M, et al. Symptomatic compression of right iliac vein after right iliac artery stent placement. J Vasc Surg Venous Lymphat Disord, 2017, 5(5): 735-738.
4. Gupta R, Mathijs E, Hart J, et al. May-Thurner syndrome and lymphedema reconstruction. Plast Reconstr Surg Glob Open, 2022, 10(6): e4377. doi: 10.1097/GOX.0000000000004377.
5. Thomas B, Barreau X, Pointillart V, et al. Endovascular embolization of a nondominant vertebral artery compressed by an osteophyte to prevent recurrence of vertebrobasilar infarctions. J Stroke Cerebrovasc Dis, 2015, 24(9): e257-e259. doi: 10.1016/j.jstrokecerebrovasdis.2015.05.033.
6. Ikedo T, Nakamura K, Sano N, et al. Extracranial internal carotid artery dissection caused by compression from a giant osteophyte due to atlantoaxial osteoarthritis: case report. J Neurosurg Spine, 2017, 27(4): 410-414.
7. Ellauzi H, Cardella J, Zafar MA, et al. Massive sternal osteophyte compressing aortic arch branch graft. Aorta (Stamford), 2021, 9(6): 231-232.
8. Shin DS, Mokkarala M, Monroe E. Osteophytic iliac venous compression: technical considerations for a bony May-Thurner syndrome variant. J Clin Interv Radiol ISVIR, 2018, 2: 95-100.
9. Wasserburger J, Haponyuk A, Modhia UM, et al. Lumbosacral exostosis as a rare cause of iliac vein compression and significant limb swelling. J Vasc Surg Cases Innov Tech, 2019, 5(4): 529-531.
10. Park JY, Park KM, Cho SG, et al. Atypical iliac vein compression in patients with symptomatic May-Thurner syndrome. Diagn Interv Radiol, 2021, 27(3): 372-377.
11. Gonzalez-Urquijo M, Torrealba J, Vargas JF, et al. Extrinsic venous compression secondary to spine osteophytes. Vascular, 2022: 17085381221084815. doi: 10.1177/17085381221084815.
12. Dabir D, Feisst A, Thomas D, et al. Physical properties of venous stents: an experimental comparison. Cardiovasc Intervent Radiol, 2018, 41(6): 942-950.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

髂靜脈支架置入成功治療腰椎骨贅致左髂靜脈閉塞1例報道

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