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首頁> 美國衛(wèi)生研究院文獻>Seminars in Interventional Radiology >Venous Disease: Interventional Therapy for Upper Extremity Deep Vein Thrombosis
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Venous Disease: Interventional Therapy for Upper Extremity Deep Vein Thrombosis

機譯:靜脈疾?。荷现铎o脈血栓形成的介入治療

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摘要

Approximately 10% of all deep vein thromboses occur in the upper extremity, and that number is increasing due to the use of peripherally inserted central catheters. Sequelae of upper extremity deep vein thrombosis (UEDVT) are similar to those for lower extremity deep vein thrombosis (LEDVT) and include postthrombotic syndrome and pulmonary embolism. In addition to systemic anticoagulation, there are multiple interventional treatment options for UEDVT with the potential to reduce the incidence of these sequelae. To date, there have been no randomized trials to define the optimal management strategy for patients presenting with UEDVT, so many conclusions are drawn from smaller, single-center studies or from LEDVT research. In this article, the authors describe the evidence for the currently available treatment options and an approach to a patient with acute UEDVT.
機譯:所有深靜脈血栓形成中約有10%發(fā)生在上肢,并且由于使用周圍插入的中央導管而增加。上肢深靜脈血栓形成(UEDVT)的后遺癥與下肢深靜脈血栓形成(LEDVT)的后遺癥相似,包括血栓形成后綜合征和肺栓塞。除了全身性抗凝治療外,UEDVT有多種介入治療選擇,有可能減少這些后遺癥的發(fā)生。迄今為止,還沒有隨機試驗確定UEDVT患者的最佳治療策略,因此從較小的單中心研究或LEDVT研究得出許多結論。在本文中,作者描述了當前可用治療方案的證據(jù)以及對急性UEDVT患者的治療方法。

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