SURGICAL TREATMENT OF EXTRAVASAL COMPRESSION OF MAJOR VEINS IN CHILDREN

封面


如何引用文章

全文:

详细

Rationale: angiodysplasia may account for about 5% of all cases of  vascular abnormalities. Patients with angiodysplasia of pelvis and  lower limbs constitute half of the total amount of persons suffering  from that disease. Patients with venous dysplasia relate to the most  numerous group of those with angiodysplasia.

Purpose of the study: determine basic syndromes found in  extravasal compression of the venous bed in children, determine the  pathogenetic value of the syndromes during formation of the venous  pathology in children and adolescents and develop the treatment method of the pathology.

Materials and methods: The following surgeries were performed:  transposition of the right common iliac artery and balloon  angioplasty in May-Thurner syndrome, formation of gonadoiliac anastomoses in phleborenohypertension, and removal of  the cervical rib in venous type of the thoracic outlet syndrome (TOS).

Results and their discussion: The main causes of small pelvis  varices were as follows: valvular insufficiency (ovaricovaricocele and  varicocele) in 2 of 3 of cases, aortomesenterial compression, in May- Thurner syndrome in 1 of 3 cases. The thoracic outlet syndrome (TOS) was found in eleven patients.

Conclusions: staged balloon angioplasty combined with removal or  hardening of veins can be the method of choice in patients with  moderate May-Thurner syndrome. Transposition of the right CIA can  be the method of choice in patients with severe May-Thurner  syndrome. Gonadoiliac shunting is chosen in patients with small  pelvis varices associated with mesoaortic compression. Removal or  resection of the cervical rib is done in patients with the thoracic  outlet syndrome due to the additional cervical rib.

作者简介

R. Garbusov

Russian Children’s Clinical Hospital

Pirogov Russian National Research Medical University of the Ministry of Health of Russia

编辑信件的主要联系方式.
Email: 9369025@mail.ru

Доктор медицинских наук, врач РХМДиЛ ФГБУ РДКБ Минздрава России. Научный сотрудник НИИ хирургии детского возраста ФГБОУ ВО РНИМУ им. Н. И. Пирогова Минздрава России

俄罗斯联邦

Yu. Polyaev

Russian Children’s Clinical Hospital

Pirogov Russian National Research Medical University of the Ministry of Health of Russia

Email: fake@neicon.ru

Доктор медицинских наук, профессор, заведующий отделением РХМДиЛ ФГБУ РДКБ Минздрава России. Заведующий отделом НИИ хирургии детского возраста ФГБОУ ВО РНИМУ им. Н. И. Пирогова МЗ РФ

俄罗斯联邦

A. Mylnikov

Russian Children’s Clinical Hospital

Email: fake@neicon.ru
Кандидат медицинских наук, врач РХМДиЛ ФГБУ РДКБ Минздрава России 俄罗斯联邦

M. Sukhov

Russian Children’s Clinical Hospital

Email: fake@neicon.ru

Доктор медицинских наук, заведующий отделением сосудистой хирургии ФГБУ РДКБ МЗ РФ

俄罗斯联邦

参考

  1. Virchow R. Uber die Erweiterung kleiner Gefasse. J. Arch Path Anat 3 (1851), p. 427.
  2. May R. and Thurner J. The cause of the predominately sinistral occurrence of thrombosis of the pelvic veins. J. Angiology 8 (1957), p. 419–427.
  3. Kim D., Orron D.E. and Porter D.H. Venographic anatomy, technique and interpretation. Peripheral vascular imaging and intervention Mosby-Year Book, St Louis (MO) (1992), p. 269–349.
  4. Покровский А. П. Клиническая ангиология. М.: Медицина, 1979. Pokrovsky A. P. Clinical Angiology. M.: Medicine, 1979. (In Russian)
  5. Нурмеев И. Н., Ахунзянов А. А., Рашидов Л. Ф. Рабочая классификация врожденных окклюзионно-стенотических заболеваний вен забрюшинного пространства у детей и подростков // Репродуктивное здоровье детей и подростков, 2012, № 1, с. 71–75.
  6. Nurmeev I.N., Akhunzyanov A.A., Rashidov L.F. Working classification of congenital occlusive-stenotic diseases of veins of retroperitoneal space in children and adolescents // Reproductive health of children and adolescents, 2012, № 1, p. 71– 75. (In Russian)
  7. Neglén P., Thrasher T.L., Raju S. Venous outflow obstruction: An underestimated contributor to chronic venous disease. J. Vasc Surg. 2003 Nov;38 (5), p. 879–885.
  8. Park Y. J., Choi J.Y., Min S.K., Lee T., Jung I.M., Chung J.K., Chung J.W., Park J.H., Kim S.J., Ha J. Restoraition of Patensy in Iliofemoral Deep Vein Thrombosis Catheter-Directed Trombolysis. Does Not Always Prevent Post-Trombotic Davage. J. European Journal of Vascular and Endovascular Surgery, 2008, vol. 36, № 6, p. 725–730.
  9. de Schepper. «Nutcracker» phenomenon of the renal vein and venous pathology of the left kidney. A. J. Belge Radiol. 1972 Sep-Oct;55 (5):507–11.
  10. Venkatachalam S., Bumpus K., Kapadia R., Gray B., Lyden S., Shishehbor M.H. The nutcracker syndrome. J. Ann Vasc Surg. 2011 Nov;25 (8):1154–64. Epub 2011 Mar 25.
  11. Andrew K. Kurklinsky, MD, MACP and Thom W. Rooke, MD. Nutcracker Phenomenon and Nutcracker Syndrome. J. Mayo Clin Proc. 2010 June; 85 (6): p. 552–559. doi: 10.4065/mcp.2009.0586 PMCID: PMC2878259.
  12. Hohenfellner M.D., Elia G., Hample C., Dahms S., Thuroff J.W. Transposition of the left renal vein for treatment of the nutcracker phenomenon: Long-term follow up. J. Urology, 2002;59:354–7.
  13. Salehipour M., Khezri A.A., Rasekhi A., Zand F. Left renal vein transposition for treatment of the nutcracker syndrome. J. Arch Iran Med 2006; 9:161–2.
  14. Страхов С. Н. Варикозное расширение вен гроздевидного сплетения и семенного канатика (варикоцеле). М., 2001. Strakhov S. N. Varicose veins of the groin-like plexus and spermatic cord (varicocele). M., 2001. (In Russian)
  15. Ахунзянов А. А., Нурмеев И. Н., Егоров А. Г., Акрамов Н. Р. Новое в диагностике и лечении варикоцеле у детей и подростков // Репродуктивное здоровье детей и подростков. 2008. № 4. С. 80–86. Akhunzyanov A.A., Nurmeev I.N., Egorov A.G., Akramov N.R. New in the diagnosis and treatment of varicocele in children and adolescents // Reproductive health of children and adolescents. 2008. № 4. P. 80–86. (In Russian)
  16. Illig K.A., Doyle A.J. A comprehensive review of Paget-Schroetter syndrome. J Vasc Surg. 2010 Jun;51 (6):1538–47. doi: 10.1016/j.jvs.2009.12.022. Epub 2010 Mar 20.
  17. Kim D., Orron D.E., Porter D.H. Venographic anatomy, technique and interpretation. J. Peripheral vascular imaging and intervention. Mosby-Year Book, St Louis (MO) (1992), p. 269–349.
  18. Richard L. Feinberg. Clinical presentation and patient evaluation in VTOS, In book: Thoracic Outlet Syndrome, pp.345–353., Springer, London, UK.
  19. Kuhn J.E., Lebus V.G.F., Bible J.E. Thoracic outlet syndrome. J Am Acad Orthop Surg. 2015 Apr;23 (4):222–32. doi: 10.5435/JAAOS-D-13–00215.
  20. Hughes R. L., Collins K. A., Sullivan K. E. A case of fatal iliac vein rupture associated with May-Thurner syndrome. Am J Forensic Med Pathol. 2013 Sep;34 (3):222–4. doi: 10.1097/PAF.0b013e31829f6753.
  21. Kim I. H., Chon G. R., Jo Y. S., Park S. B., Han S. D. Spontaneous left external iliac vein rupture. J Korean Surg Soc. 2011 Dec;81 Suppl 1: S82–4. doi: 10.4174/jkss.2011.81. Suppl1. S82. Epub 2011 Nov 25.
  22. Kim D. H., Park H. S., Lee T. Spontaneous Iliac Vein Rupture. Vasc Specialist Int. 2015 Jun;31 (2):62–5. doi: 10.5758/vsi.2015.31.2.62. Epub 2015 Jun 30.

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © Garbusov R.V., Polyaev Y.A., Mylnikov A.A., Sukhov M.N., 2017

Creative Commons License
此作品已接受知识共享署名-非商业性使用-禁止演绎 4.0国际许可协议的许可。
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: ПИ № ФС 77 - 81892 от 24.09.2021 г.


##common.cookie##