ENDOVASCULAR TREATMENT FOR POSTTHROMBOTIC SYNDROME DUE TO UTERINE FIBROIDS
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48750/acv.304 |
Resumo: | Uterine fibroids are the most common solid pelvic tumors in women, frequently causing hypomenorrhea.They normally do not carry an increased risk for deep venous thrombosis (DVT) unless they reach a considerable size conditioning inferior vena cava and pelvic veins compression.Postthrombotic iliac vein obstructive lesions resulting from a prior episode of DVT may lead to clinical signs and symptoms of chronic vein disease.There is no role for prophylactic treatment of silent lesions. However, if patients develop advanced symptoms (CEAP C3-C6 classification) despite best medical treatment, patients are candidates for endovascular correction with stenting. Endovenous correction of ilio-caval pathology is associated with high technical success rate and reduced complications, around 0.4%.The authors describe a clinical case of a 47 years-old female patient that developed post-thrombotic syndrome due to a DVT, caused by compression from a large uterine fibroid, treated with endovascular surgery. |
id |
RCAP_cb34d2baf6fe4fb488c3a292888e02c7 |
---|---|
oai_identifier_str |
oai:ojs.acvjournal.com:article/304 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
ENDOVASCULAR TREATMENT FOR POSTTHROMBOTIC SYNDROME DUE TO UTERINE FIBROIDSTRATAMENTO ENDOVASCULAR NO SÍNDROME PÓS-TROMBÓTICO SECUNDÁRIO A FIBROMA UTERINOUterine fibroidsDeep venous thrombosisPost-thrombotic syndromeEndovascularIlio-caval stentingFibroma uterinoTrombose venosa profundaSindrome pós trombóticoEndovascularStenting ilio-cavaUterine fibroids are the most common solid pelvic tumors in women, frequently causing hypomenorrhea.They normally do not carry an increased risk for deep venous thrombosis (DVT) unless they reach a considerable size conditioning inferior vena cava and pelvic veins compression.Postthrombotic iliac vein obstructive lesions resulting from a prior episode of DVT may lead to clinical signs and symptoms of chronic vein disease.There is no role for prophylactic treatment of silent lesions. However, if patients develop advanced symptoms (CEAP C3-C6 classification) despite best medical treatment, patients are candidates for endovascular correction with stenting. Endovenous correction of ilio-caval pathology is associated with high technical success rate and reduced complications, around 0.4%.The authors describe a clinical case of a 47 years-old female patient that developed post-thrombotic syndrome due to a DVT, caused by compression from a large uterine fibroid, treated with endovascular surgery.Os fibromas uterinos são o tumor sólido pélvico mais frequente nas mulheres, geralmente condicionando hipomenorreia. Não costumam estar associados a trombose venosa profunda, mas, quando atingem dimensões consideráveis podem condicionar fenómenos compressivos a nível da veia cava inferior e veias pélvicas e consequentes fenómenos trombóticos. Posteriormente, as lesões obstrutivas pós-trombóticas das veias ilíacas poderão levar ao desenvolvimento de clínica e sintomas compatíveis com doença venosa crónica. Se por um lado não existe indicação para intervenção profilática, quando essas lesões desenvolvem sintomas apesar do melhor tratamento médico (Classificação CEAP C3-6), está recomendada a sua correção via endovascular com recurso a stenting. Estas intervenções são procedimentos seguros e eficazes associadas a uma reduzida taxa de complicações, na ordem dos 0.4%. Os autores descrevem um caso clínico de uma utente do sexo feminino, de 47 anos, que desenvolveu síndrome pós-trom- bótico no contexto de um fibroma uterino de grandes dimensões, corrigido com recurso a tratamento endovascular.Sociedade Portuguesa de Angiologia e Cirurgia Vascular2022-03-02T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48750/acv.304oai:ojs.acvjournal.com:article/304Angiologia e Cirurgia Vascular; Vol. 17 No. 4 (2021): December; 344-348Angiologia e Cirurgia Vascular; Vol. 17 N.º 4 (2021): Dezembro; 344-3482183-00961646-706Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://acvjournal.com/index.php/acv/article/view/304https://doi.org/10.48750/acv.304http://acvjournal.com/index.php/acv/article/view/304/278Copyright (c) 2022 Angiologia e Cirurgia Vascularinfo:eu-repo/semantics/openAccessPinto Sousa, Pedro2022-05-23T15:10:09Zoai:ojs.acvjournal.com:article/304Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T14:57:40.256311Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
ENDOVASCULAR TREATMENT FOR POSTTHROMBOTIC SYNDROME DUE TO UTERINE FIBROIDS TRATAMENTO ENDOVASCULAR NO SÍNDROME PÓS-TROMBÓTICO SECUNDÁRIO A FIBROMA UTERINO |
title |
ENDOVASCULAR TREATMENT FOR POSTTHROMBOTIC SYNDROME DUE TO UTERINE FIBROIDS |
spellingShingle |
ENDOVASCULAR TREATMENT FOR POSTTHROMBOTIC SYNDROME DUE TO UTERINE FIBROIDS Pinto Sousa, Pedro Uterine fibroids Deep venous thrombosis Post-thrombotic syndrome Endovascular Ilio-caval stenting Fibroma uterino Trombose venosa profunda Sindrome pós trombótico Endovascular Stenting ilio-cava |
title_short |
ENDOVASCULAR TREATMENT FOR POSTTHROMBOTIC SYNDROME DUE TO UTERINE FIBROIDS |
title_full |
ENDOVASCULAR TREATMENT FOR POSTTHROMBOTIC SYNDROME DUE TO UTERINE FIBROIDS |
title_fullStr |
ENDOVASCULAR TREATMENT FOR POSTTHROMBOTIC SYNDROME DUE TO UTERINE FIBROIDS |
title_full_unstemmed |
ENDOVASCULAR TREATMENT FOR POSTTHROMBOTIC SYNDROME DUE TO UTERINE FIBROIDS |
title_sort |
ENDOVASCULAR TREATMENT FOR POSTTHROMBOTIC SYNDROME DUE TO UTERINE FIBROIDS |
author |
Pinto Sousa, Pedro |
author_facet |
Pinto Sousa, Pedro |
author_role |
author |
dc.contributor.author.fl_str_mv |
Pinto Sousa, Pedro |
dc.subject.por.fl_str_mv |
Uterine fibroids Deep venous thrombosis Post-thrombotic syndrome Endovascular Ilio-caval stenting Fibroma uterino Trombose venosa profunda Sindrome pós trombótico Endovascular Stenting ilio-cava |
topic |
Uterine fibroids Deep venous thrombosis Post-thrombotic syndrome Endovascular Ilio-caval stenting Fibroma uterino Trombose venosa profunda Sindrome pós trombótico Endovascular Stenting ilio-cava |
description |
Uterine fibroids are the most common solid pelvic tumors in women, frequently causing hypomenorrhea.They normally do not carry an increased risk for deep venous thrombosis (DVT) unless they reach a considerable size conditioning inferior vena cava and pelvic veins compression.Postthrombotic iliac vein obstructive lesions resulting from a prior episode of DVT may lead to clinical signs and symptoms of chronic vein disease.There is no role for prophylactic treatment of silent lesions. However, if patients develop advanced symptoms (CEAP C3-C6 classification) despite best medical treatment, patients are candidates for endovascular correction with stenting. Endovenous correction of ilio-caval pathology is associated with high technical success rate and reduced complications, around 0.4%.The authors describe a clinical case of a 47 years-old female patient that developed post-thrombotic syndrome due to a DVT, caused by compression from a large uterine fibroid, treated with endovascular surgery. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-03-02T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48750/acv.304 oai:ojs.acvjournal.com:article/304 |
url |
https://doi.org/10.48750/acv.304 |
identifier_str_mv |
oai:ojs.acvjournal.com:article/304 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
http://acvjournal.com/index.php/acv/article/view/304 https://doi.org/10.48750/acv.304 http://acvjournal.com/index.php/acv/article/view/304/278 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Angiologia e Cirurgia Vascular info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Angiologia e Cirurgia Vascular |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
dc.source.none.fl_str_mv |
Angiologia e Cirurgia Vascular; Vol. 17 No. 4 (2021): December; 344-348 Angiologia e Cirurgia Vascular; Vol. 17 N.º 4 (2021): Dezembro; 344-348 2183-0096 1646-706X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799129849793609728 |