완두정맥의 폐쇄성 재협착 병변에서 self expandable stent로 치료한 2예
Two cases of self expandable stent implantation in patient with occlusive restenosis of brachiocephalic vein stent
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초록
혈액투석 환자에서 중심정맥의 협착증은 혈관확장술 및 스텐트 시술로 치료가 가능하나 치료 후에도 재발이 많아 반복적인 중재적 개입술이 필요한 경우가 흔하다. 특히 완두정맥은 정맥의 해부학적인 위치 및 정맥의 특성 때문에 balloon expandable stent보다 self expandable stent가 선호된다. 저자 등은 완두정맥의 협착 및 폐쇄에 balloon expandable stent 시술 후에 스텐트 부위의 뒤틀리고 허탈된 2예에서 self expandible stent로 성공적으로 치료하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Percutaneous venous angioplasty and stent placement is a effective procedure in the treatment of central venous stenosis and occlusion. But multiple repeat interventions are occasionally required due to restenosis. Self expandable stent is preferred to balloon expandable stent in case of brachiocephalic vein stenting due to anatomic consideration and veinous characteristics. We reported two cases of successful recanalization using self expandable stent of the occlusive kinked in-stent restenosis of the previous balloon expandable stent at left brachiocephalic vein occlusion.
참고문헌 (11)
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