Диагностика и лечение стенозов подвздошных вен

Диагностика и лечение стенозов подвздошных вен

Автор: Гительзон Даниил Георгиевич, Файбушевич Александр Георгиевич, Максимкин Даниил Александрович, Веретник Галина Ивановна, Баранович Владислав Юрьевич, Гительзон Екатерина Александровна, Сабиров Кирилл Рустемович, Васильев Александр Эдуардович, Данишян Карен Исмаилович

Журнал: Клиническая практика @clinpractice

Рубрика: Обзоры

Статья в выпуске: 4 т.11, 2020 года.

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Причиной стенозов подвздошных вен могут быть экстравазальная компрессия либо последствия илеофеморального тромбоза. Стенозы подвздошных вен встречаются у 1/4 взрослой популяции, но клинические проявления наступают далеко не у всех пациентов. О стенозе подвздошных вен следует думать при неизвестной причине отека нижней конечности, чаще левой, т.к. ультразвуковое дуплексное сканирование вен нижних конечностей недостаточно чувствительно и специфично при исследовании вен выше паховой связки. Наиболее точным методом диагностики является внутрисосудистое ультразвуковое исследование, однако появление компьютерной томографической и магнитно-резонансной ангиографии с высококачественным изображением стало достойной ему заменой. Главным методом лечения стенозов подвздошных вен помимо стентирования является обязательная лекарственная (антитромботическая и флеботонизирующая) терапия. В статье описаны методы диагностики и лечения стенозов подвздошных вен.

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Стенозы подвздошных вен, диагностика, лечение, стентирование

Короткий адрес: https://sciup.org/143175832

IDR: 143175832   |   DOI: 10.17816/clinpract35238

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