髂静脉支架置入成功治疗腰椎骨赘致左髂静脉闭塞1例报道_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

黎万华 , 王哲 , 汪飞宇 , 曾秋 ,  赵渝

重庆医科大学附属第一医院血管外科（重庆 400016）;

Corresponding author：

赵渝, Email: 820994765@qq.com

Keywords：

髂静脉压迫综合征; 球囊扩张; 支架置入; 腰椎骨赘

DOI：

10.7507/1007-9424.202210028

Video：

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目的总结腰椎骨赘形成致左髂静脉闭塞的不典型髂静脉压迫综合征的诊断及治疗方法。方法收集重庆医科大学附属第一医院收治的1例由第4、5腰椎骨赘致左髂静脉闭塞的非典型髂静脉压迫综合征患者采用血管腔内治疗后第1、2、9、17个月时髂静脉彩色多普勒超声随访结果以及术后第9个月时患者双下肢CT静脉造影评估的患者髂静脉支架通畅情况。结果患者在术后17个月的随访期间，髂静脉支架通畅，髂静脉支架并未因骨赘压迫发生明显狭窄及支架内血栓形成，患者下肢症状较前明显改善。结论对于此类非典型髂静脉压迫综合征患者术前检查至关重要，血管腔内治疗为有效治疗手段，能重建髂静脉流出道，有效改善患者静脉高压症状。

Citation： 黎万华, 王哲, 汪飞宇, 曾秋, 赵渝. 髂静脉支架置入成功治疗腰椎骨赘致左髂静脉闭塞1例报道. 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

髂静脉支架置入成功治疗腰椎骨赘致左髂静脉闭塞1例报道

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