Endovascular interventional therapy for Cockett syndrome associated with deep vein thrombosis of left lower extremity
10.3969/j.issn.1008-794X.2017.06.011
- VernacularTitle:腔内介入治疗Cockett综合征伴左下肢深静脉血栓形成
- Author:
Guorui ZHAO
;
Jianzhuang REN
;
Xuhua DUAN
;
Wenguang ZHANG
;
Pengfei CHEN
;
Tai KANG
;
Qinghui ZHANG
;
Chaoyang WANG
;
Donglin KUANG
;
Fangzheng LI
;
Xinwei HAN
- Keywords:
Cockett syndrome;
catheter-directed thrombolysis;
balloon dilatation;
stent implantation;
clinical effect
- From:Journal of Interventional Radiology
2017;26(6):522-526
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effect of endovascular interventional therapy in treating Cockett syndrome associated with deep vein thrombosis (DVT) of left lower extremity.Methods The clinical data of a total of 256 patients with Cockett syndrome complicated by DVT of left lower extremity,who were admitted to authors' hospital during the period from January 2011 to January 2015,were retrospectively analyzed.The patients were treated with catheter-directed thrombolysis,balloon dilatation of the occluded or narrowed venous segment,and/or stent implantation.The circumference differences of the affected limbs before and after treatment and the long-term patency rates were compared.Results Of the 256 patients with Cockett syndrome complicated by DVT of left lower extremity,complete dissolution of thrombus was achieved in 232 (90.6％) and partial dissolution of thrombus in 24 (9.4％).The circumference difference of thigh and calf was (7.12±2.15) and (4.57±2.81) cm respectively before and after treatment.Iliac vein reconstruction was carried out in 206 patients,among them simple balloon dilatation was employed in 46 and balloon dilatation together with stent implantation was adopted in 160.The patients were followed up for 9-24 months with a mean of 15 months.In simple balloon dilatation group,3 patients lost touch with the authors during the following-up period,26 patients (60.5％) developed iliac vein occlusion and post-embolization syndrome occurred in 21 patients (48.8％).In balloon dilatation plus stent implantation group,11 patients lost touch with the authors during the following-up period,stenosis or occlusion of the stent was seen in 13 patients (8.7％),post-embolization syndrome was observed in 15 patients (10.1％).The differences in vascular stenosis or occlusion and in the occurrence of post-embolization syndrome between the two groups were statistically significant (P＜0.001).Conclusion For the treatment of Cockett syndrome complicated by DVT of left lower extremity,catheter-directed thrombolysis and balloon dilatation combined with stent implantation carry definite clinical curative effect.
