下肢静脈瘤の血管内治療術後の血栓合併症と対策
要旨：伏在型下肢静脈瘤8318 肢に施行した血管内治療術後に生じた血栓合併症について検討した。endovenous heat-induced thrombosis class 2 以上は5.3％に認められ，ほとんどが自然消失した。近位型深部静脈血栓症は0.05％に認められたが，両者の直接の因果関係は認められなかった。高位結紮を伴わない血管内治療は従来の伏在静脈抜去術と比較しても安全な治療法と考えられた。...
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| Published in | 脈管学 Vol. 55; no. 9; pp. 153 - 161 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本脈管学会
2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0387-1126 1880-8840 |
| DOI | 10.7133/jca.15-00026 |
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| Abstract | 要旨：伏在型下肢静脈瘤8318 肢に施行した血管内治療術後に生じた血栓合併症について検討した。endovenous heat-induced thrombosis class 2 以上は5.3％に認められ，ほとんどが自然消失した。近位型深部静脈血栓症は0.05％に認められたが，両者の直接の因果関係は認められなかった。高位結紮を伴わない血管内治療は従来の伏在静脈抜去術と比較しても安全な治療法と考えられた。 |
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| AbstractList | 要旨：伏在型下肢静脈瘤8318 肢に施行した血管内治療術後に生じた血栓合併症について検討した。endovenous heat-induced thrombosis class 2 以上は5.3％に認められ，ほとんどが自然消失した。近位型深部静脈血栓症は0.05％に認められたが，両者の直接の因果関係は認められなかった。高位結紮を伴わない血管内治療は従来の伏在静脈抜去術と比較しても安全な治療法と考えられた。 |
| Author | 栗原, 伸久 広川, 雅之 山本, 崇 |
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| References | 16) Kane K, Fisher T, Bennett M, et al: The incidence and outcome of endothermal heat-induced thrombosis after endovenous laser ablation. Ann Vasc Surg 2014; 28: 1744–1750 10) Proebstle TM, Sandhofer M, Kargl A, et al: Thermal damage of the inner vein wall during endovenous laser treatment: key role of energy absorption by intravascular blood. Dermatol Surg 2002; 28: 596–600 19) 栗原伸久，広川雅之：波長1470 nm レーザーおよびradial 2ring fiber を用いた下肢静脈瘤に対する血管内レーザー焼灼術─その初期成績─．静脈学 2014; 26: 34–40 21) Jones RT, Kabnick LS: Perioperative duplex ultrasound following endothermal ablation of the saphenous vein: is it worthless? J Invasive Cardiol 2014; 26: 548–550 2) 佐戸川弘之，杉山悟，広川雅之，他：下肢静脈瘤に対する血管内治療のガイドライン 2009–2010 年小委員会報告．静脈学 2010; 4: 289–309 17) 広川雅之，栗原伸久：下肢静脈瘤に対する980 nm レーザーを用いた標準的血管内レーザー治療．日血外会誌2012; 21: 583–588 18) Hirokawa M, Kurihara N: Comparison of bare-tip and radial fiber in endovenous laser ablation with 1470 nm diode laser. Ann Vasc Dis 2014; 7: 239–245 20) Kabnick LS, Berland TL: Endothermal heat induced thrombosis (EHIT). Presented at the 38th Annual Vascular and Endovascular Issues, Techniques and Horizons (VEITHsymposium), November 16–20, 2011, New York City 7) Sufian S, Arnez A, Labropoulos N, et al: Endovenous heatinduced thrombosis after ablation with 1470 nm laser: Incidence, progression, and risk factors. Phlebology 2015; 30: 325–330 9) Sadek M, Kabnick LS, et al: Increasing ablation distance peripheral to the saphenofemoral junction may result in a diminished rate of endothermal heat-induced thrombosis. J Vasc Surg 2013; 1: 257–262 8) Shutze WP, Kane K, et al: The effect of laser wavelength on endothermal heat-induced thrombosis after endovenous laser ablation. J Vasc Surg 2014; 60: 1726 4) Mozes G, Kalra M, Carmo M, et al: Extension of saphenous thrombus into the femoral vein: a potential complication of new endovenous ablation techniques. J Vasc Surg 2005; 41: 130–135 3) van Rij AM, Chai J, Hill GB, et al: Incidence of deep vein thrombosis after varicose vein surgery. Br J Surg 2004; 91: 1582–1585 11) van der Geld CW, van den Bos RR, van Ruijven PW, et al: The heat-pipe resembling action of boiling bubbles in endovenous laser ablation. Lasers Med Sci 2010; 25: 907–909 14) Marsh P, Price BA, Holdstock J, et al: Deep vein thrombosis (DVT) after venous thermoablation techniques: rates of endovenous heat-induced thrombosis (EHIT) and classical DVT after radiofrequency and endovenous laser ablation in a single centre. Eur J Vasc Endovasc Surg 2010; 40: 521–527 6) Rhee SJ, Cantelmo NL, Conrad MF, et al: Factors influencing the incidence of endovenous heat-induced thrombosis (EHIT). Vasc Endovascular Surg 2013; 47: 207–212 13) Labropoulos N, Bishawi M, Gasparis A, et al: Great saphenous vein stump thrombosis after harvesting for coronary artery bypass graft surgery. Phlebology 2014; 29: 215–219 12) 広川雅之：下肢静脈瘤血管内レーザー治療，広川雅之編，日本医事新報社，東京，2011 1) Kabnick LS, Ombrellino M, Agis H, et al: Endovenous heat induced thrombus (EHIT) at the superficial-deep venous junction: a new post-treatment clinical entity, classification and potential treatment strategies. 18th Annual Meeting of the American Venous Forum, Miami, Florida, 2006 5) Frasier K, Latessa V: Minimally invasive vein therapy and treatment options for endovenous heat-induced thrombus. J Vasc Nurs 2008; 26: 53–57 15) Dexter D, Kabnick L, Berland T, et al: Complications of endovenous lasers. Phlebology 2012; 27 Suppl 1: 40–45 |
| References_xml | – reference: 20) Kabnick LS, Berland TL: Endothermal heat induced thrombosis (EHIT). Presented at the 38th Annual Vascular and Endovascular Issues, Techniques and Horizons (VEITHsymposium), November 16–20, 2011, New York City – reference: 9) Sadek M, Kabnick LS, et al: Increasing ablation distance peripheral to the saphenofemoral junction may result in a diminished rate of endothermal heat-induced thrombosis. J Vasc Surg 2013; 1: 257–262 – reference: 3) van Rij AM, Chai J, Hill GB, et al: Incidence of deep vein thrombosis after varicose vein surgery. Br J Surg 2004; 91: 1582–1585 – reference: 6) Rhee SJ, Cantelmo NL, Conrad MF, et al: Factors influencing the incidence of endovenous heat-induced thrombosis (EHIT). Vasc Endovascular Surg 2013; 47: 207–212 – reference: 17) 広川雅之，栗原伸久：下肢静脈瘤に対する980 nm レーザーを用いた標準的血管内レーザー治療．日血外会誌2012; 21: 583–588 – reference: 12) 広川雅之：下肢静脈瘤血管内レーザー治療，広川雅之編，日本医事新報社，東京，2011 – reference: 11) van der Geld CW, van den Bos RR, van Ruijven PW, et al: The heat-pipe resembling action of boiling bubbles in endovenous laser ablation. Lasers Med Sci 2010; 25: 907–909 – reference: 15) Dexter D, Kabnick L, Berland T, et al: Complications of endovenous lasers. Phlebology 2012; 27 Suppl 1: 40–45 – reference: 1) Kabnick LS, Ombrellino M, Agis H, et al: Endovenous heat induced thrombus (EHIT) at the superficial-deep venous junction: a new post-treatment clinical entity, classification and potential treatment strategies. 18th Annual Meeting of the American Venous Forum, Miami, Florida, 2006 – reference: 4) Mozes G, Kalra M, Carmo M, et al: Extension of saphenous thrombus into the femoral vein: a potential complication of new endovenous ablation techniques. J Vasc Surg 2005; 41: 130–135 – reference: 16) Kane K, Fisher T, Bennett M, et al: The incidence and outcome of endothermal heat-induced thrombosis after endovenous laser ablation. Ann Vasc Surg 2014; 28: 1744–1750 – reference: 2) 佐戸川弘之，杉山悟，広川雅之，他：下肢静脈瘤に対する血管内治療のガイドライン 2009–2010 年小委員会報告．静脈学 2010; 4: 289–309 – reference: 5) Frasier K, Latessa V: Minimally invasive vein therapy and treatment options for endovenous heat-induced thrombus. J Vasc Nurs 2008; 26: 53–57 – reference: 7) Sufian S, Arnez A, Labropoulos N, et al: Endovenous heatinduced thrombosis after ablation with 1470 nm laser: Incidence, progression, and risk factors. Phlebology 2015; 30: 325–330 – reference: 18) Hirokawa M, Kurihara N: Comparison of bare-tip and radial fiber in endovenous laser ablation with 1470 nm diode laser. Ann Vasc Dis 2014; 7: 239–245 – reference: 8) Shutze WP, Kane K, et al: The effect of laser wavelength on endothermal heat-induced thrombosis after endovenous laser ablation. J Vasc Surg 2014; 60: 1726 – reference: 10) Proebstle TM, Sandhofer M, Kargl A, et al: Thermal damage of the inner vein wall during endovenous laser treatment: key role of energy absorption by intravascular blood. Dermatol Surg 2002; 28: 596–600 – reference: 13) Labropoulos N, Bishawi M, Gasparis A, et al: Great saphenous vein stump thrombosis after harvesting for coronary artery bypass graft surgery. Phlebology 2014; 29: 215–219 – reference: 19) 栗原伸久，広川雅之：波長1470 nm レーザーおよびradial 2ring fiber を用いた下肢静脈瘤に対する血管内レーザー焼灼術─その初期成績─．静脈学 2014; 26: 34–40 – reference: 14) Marsh P, Price BA, Holdstock J, et al: Deep vein thrombosis (DVT) after venous thermoablation techniques: rates of endovenous heat-induced thrombosis (EHIT) and classical DVT after radiofrequency and endovenous laser ablation in a single centre. Eur J Vasc Endovasc Surg 2010; 40: 521–527 – reference: 21) Jones RT, Kabnick LS: Perioperative duplex ultrasound following endothermal ablation of the saphenous vein: is it worthless? J Invasive Cardiol 2014; 26: 548–550 |
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| Snippet | 要旨：伏在型下肢静脈瘤8318 肢に施行した血管内治療術後に生じた血栓合併症について検討した。endovenous heat-induced thrombosis class 2 以上は5.3％に... |
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| SubjectTerms | deep vein thrombosis (DVT) endovenous heatinduced thrombosis (EHIT) endovenous laser ablation (EVLA) radiofrequency ablation (RFA) varicose vein |
| Title | 下肢静脈瘤の血管内治療術後の血栓合併症と対策 |
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