[1]邓佳欣,刘丽萍,赵 渝,等.单中心10年1 722例下腔静脉滤器临床应用回顾性分析[J].介入放射学杂志,2023,32(03):219-224.
 DENG Jiaxin,LIU Liping,ZHAO Yu,et al.The accomplishment of 1 722 inferior vena cava filter implantation procedures at a single center within 10 years: a clinical application review[J].journal interventional radiology,2023,32(03):219-224.
点击复制

单中心10年1 722例下腔静脉滤器临床应用回顾性分析()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
32
期数:
2023年03
页码:
219-224
栏目:
神经介入
出版日期:
2023-03-31

文章信息/Info

Title:
The accomplishment of 1 722 inferior vena cava filter implantation procedures at a single center within 10 years: a clinical application review
作者:
邓佳欣 刘丽萍 赵 渝 李凯平 王学虎 李凤贺
Author(s):
DENG Jiaxin LIU Liping ZHAO Yu LI Kaiping WANG Xuehu LI Fenghe.
Department of Vascular Surgery, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
关键词:
【关键词】 静脉血栓栓塞症下腔静脉滤器适应证回收影响因素
文献标志码:
A
摘要:
【摘要】 目的 探讨重庆医科大学附属第一医院10年间下腔静脉滤器(IVCF)应用趋势,分析影响IVCF回收的因素。方法 收集2011年1月至2020年12月IVCF置入患者临床资料,记录患者性别、年龄、诊断、伴发疾病、治疗方案、所在科室、IVCF置入指征、IVCF类型、IVCF回收情况、出院诊断等。采用Origin 2021软件绘制研究结果趋势图,二元logistic回归模型分析影响IVCF回收的因素。结果 10年间共置入1 722枚IVCF,年均增长率为15.2%,54.8%(944/1 722)患者有置入IVCF绝对适应证。87.6%(1 509/1 722)IVCF为可回收型,其中611枚回收成功,总回收率为40.5%;至2020年回收率达70.5%(146/207)。拟合趋势线绘制提示,以绝对适应证置入IVCF数量呈持续上升趋势。二元logistic回归分析显示,置入年份、患者年龄、Charlson共病指数(CCI)、下肢深静脉血栓形成(DVT)分型、恶性肿瘤、抗凝禁忌、肺栓塞是IVCF回收的影响因素。结论 过去10年IVCF在静脉血栓栓塞症患者中应用日趋增加,其回收率逐年提高。高龄、伴有多种疾病、恶性肿瘤、肺栓塞、抗凝禁忌、中央型和混合型DVT患者IVCF回收率低。应加强对IVCF长期留置患者随访。

参考文献/References:

[1] 王 辰. 肺血栓栓塞症诊治与预防指南[J]. 中华医学杂志, 2018, 98:1060- 1087.
[2] Kaufman J, Barnes G, Chaer R, et al. Society of interventional radiology clinical practice guideline for inferior vena cava filters in the treatment of patients with venous thromboembolic disease: developed in collaboration with the American college of cardiology,American college of chest physicians,American college of surgeons committee on trauma,American heart association,society for vascular surgery,and society for vascular medicine[J]. J Vasc Interv Radiol, 2020, 31: 1529- 1544.
[3] 张福先,李晓强,刘建龙,等. 腔静脉滤器临床应用指南[J]. 中国实用外科杂志, 2019, 39:651- 654.
[4] Marron RM,Rali P,Hountras P,et al. Inferior vena cava filters: past, present, and future[J]. Chest, 2020, 158: 2579- 2589.
[5] Reddy S,Lakhter V,Zack CJ,et al. Association between con- temporary trends in inferior vena cava filter placement and the 2010 US food and drug administration advisory[J]. JAMA Intern Med, 2017, 177: 1373- 1374.
[6] Shah M,Alnabelsi T,Patil S,et al. IVC filters- trends in placement and indications,a study of 2 populations[J]. Medicine, 2017, 96: e6449.
[7] White RH,Geraghty EM,Brunson A,et al. High variation between hospitals in vena cava filter use for venous thromboembolism[J]. JAMA Intern Med, 2013, 173: 506- 512.
[8] United States Food and Drug Administration. Removing retrievable inferior vena cava filters: initial communication[EB/OL]. http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm221676.htm, 2010- 08- 09.
[9] United States Food and Drug Administration. Removing retrieable- inferior vena cava filters: FDA safety communication[EB/OL]. http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm396377.htm, 2014- 05- 06.
[10] Glocker RJ,Terbush MJ,Hill EL,et al. Bundling of reimbursement for inferior vena cava filter placement resulted in significantly decreased utilization between 2012 and 2014[J]. Ann Vasc Surg, 2017, 38: 172- 176.
[11] 翟仁友,戴定可. 下腔静脉滤器置入术预防致死性肺动脉栓塞(附三例分析)[J]. 中华放射学杂志, 1995, 29:448- 451.
[12] 中国医师协会介入医师分会,中华医学会放射学分会介入专业委员会,中国静脉介入联盟.下腔静脉滤器置入术和取出术规范的专家共识(第2版)[J]. 中华医学杂志, 2020, 100 : 2092- 2101.
[13] Charlson ME,Pompei P,Ales KL,et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation[J]. J Chronic Dis, 1987, 40: 373- 383.
[14] Casajuana E,Mellado M,Cebria M,et al. Changing trends in inferior vena cava filter indication for venous thromboembolism over the last two decades: a retrospective observational study[J]. Int Angiol, 2020, 39: 276- 283.
[15] 蒋利强,贾中芝,王 云,等. 下腔静脉滤器单中心九年应用数据分析[J]. 中华普通外科杂志, 2017, 32:263- 264.
[16] Zhang Z,Lei J,Shao X,et al. Trends in hospitalization and inhospital mortality from VTE, 2007 to 2016, in China[J]. Chest, 2019, 155: 342- 353.
[17] 杨 亮,姚双龙,胡世兵,等. AngioJet机械性血栓抽吸联合导管接触溶栓治疗急性下肢深静脉血栓形成效果观察[J]. 介入放射学杂志, 2021, 30:561- 565.
[18] Li Z, Yang C, Fan B, et al. Balloon- assisted catheter- directed thrombolysis: a novel approach for acute deep vein thrombosis in the lower extremities[J]. J Interv Med, 2020, 3: 37- 40.
[19] 中华医学会外科学分会血管外科学组. 深静脉血栓形成的诊断和治疗指南[J]. 中华普通外科杂志, 2008, 23:235- 238.
[20] Shah M,Alnabelsi T,Patil S,et al. IVC filters- trends in placement and indications,a study of 2 populations[J]. Medicine (Baltimore), 2017, 96: e6449.
[21] Hammond CJ, Bakshi DR, Currie RJ, et al. Audit of the use of IVC filters in the UK: experience from three centres over 12 years[J]. Clin Radiol, 2009, 64: 502- 510.
[22] Gu J,Xu K,Teng G. Consensus among Chinese experts on standard interventional therapy for deep venous thrombosis of lower extremity(second edition)[J]. J Interv Med, 2018, 1: 125- 136.
[23] Deyoung E,Minocha J. Inferior vena cava filters: guidelines, best practice,and expanding indications[J]. Semin Intervent Radiol, 2016, 33: 65- 70.
[24] 赵伯翔,顾建平,何 旭,等. 下腔静脉滤器长期留置并发症CT随访的单中心研究[J]. 介入放射学杂志, 2016, 25:944- 948.
[25] Andreoli JM,Lewandowski RJ,Vogelzang RL,et al. Comparison of complication rates associated with permanent and retrievable inferior vena cava filters: a review of the MAUDE database[J]. J Vasc Interv Radiol, 2014, 25: 1181- 1185.
[26] Mohapatra A,Liang NL,Chaer RA,et al. Persistently low inferior vena cava filter retrieval rates in a population- based cohort[J]. J Vasc Surg Venous Lymphat Disord, 2019, 7: 38- 44.
[27] Crumley KD,Hyatt E,Kalva SP,et al. Factors affecting inferior vena cava filter retrieval: a review[J]. Vasc Endovascular Surg, 2019, 53: 224- 229.
[28] Parsons B,Polewski PJ,Smith AL,et al. Does timing of inferior vena cava filter retrieval planning impact retrieval rates? A comparison of planning before or after hospital discharge[J]. WMJ, 2019, 118: 30- 34.
[29] Lee MJ,Valenti D,de Gregorio MA,et al. The CIRSE retrievable IVC filter registry: retrieval success rates in practice[J]. Cardiovasc Intervent Radiol, 2015, 38: 1502- 1507.
[30] Zhou D, pain J,Moon E,et al. Retrospective review of 120 celect inferior vena cava filter retrievals: experience at a single institution[J]. J Vasc Interv Radiol, 2012, 23: 1557- 1563.
[31] 单 位,阎 浩,乔 林,等. 导丝成襻切割技术辅助回收嵌顿的下腔静脉滤器[J]. 介入放射学杂志, 2020, 29:768- 771.
[32] Khorana AA,Francis CW,Culakova E, et al. Thromboembolism is a leading cause of death in cancer patients receiving outpatient chemotherapy[J]. J Thromb Haemost, 2007, 5: 632- 634.
[33] Yoon DY,Vavra AK,Eifler AC,et al. Why temporary filters are not removed: clinical predictors in 1,000 consecutive cases[J]. Ann Vasc Surg, 2017, 42: 64- 70.
[34] Gyang E,Zayed M,Harris EJ, et al. Factors impacting follow- up care after placement of temporary inferior vena cava filters[J]. J Vasc Surg, 2013, 58: 440- 445.
[35] Brothers TE,Todoran TM. Permanent inferior vena cava filters offer greater expected patient utility at lower predicted cost[J]. J Vasc Surg Venous Lymphat Disord, 2020, 8: 583- 592.

相似文献/References:

[1]余波,史伟浩,等.经肘下腔静脉滤器置入术六例[J].介入放射学杂志,2008,(08):590.
 YU Bo,SHI Weihao,HE Qing,et al.Vena cava filter placement via the antecubital access:a report of 6cases[J].journal interventional radiology,2008,(03):590.
[2]崔宁,骆秉铨,张义勤,等.下腔静脉滤器置入术的临床观察[J].介入放射学杂志,2000,(02):110.
[3]李建明,贾广志,秦孝军.下腔静脉滤器预防肺栓塞及其并发症[J].介入放射学杂志,2009,(12):900.
 LI Jianming,JIA Guangzhi,QIN Xiaojun.Inferior vena cava filter placement for the prevention of pulmonary embolism and the complications related to the filter placement[J].journal interventional radiology,2009,(03):900.
[4]胡蓝月,顾建平,楼文胜.下腔静脉滤器置入后并发症及其防治的研究进展[J].介入放射学杂志,2014,(07):645.
 HU Lan- yue,GU Jian- ping,LOU Wen- sheng..Complication of inferior vena cava filter implantation and its prevention: current progress in research[J].journal interventional radiology,2014,(03):645.
[5]张 馨,倪叶彬.静脉血栓栓塞症患者预防及院后管理现状[J].介入放射学杂志,2019,28(10):1009.
 ZHANG Xin,NI Yebin..Current status of the prevention and post-hospital management of patients with venous thromboembolism[J].journal interventional radiology,2019,28(03):1009.
[6]贾中芝,秦 辉,汤黎明,等.院内静脉血栓栓塞症防治体系构建的再思考[J].介入放射学杂志,2020,29(10):1062.
 JIA Zhongzhi,QIN Hui,TANG Liming,et al.Rethinking of the construction of in-hospital prevention and management system for venous thromboembolism[J].journal interventional radiology,2020,29(03):1062.
[7]植艳茹,李海燕,孙羽东,等. 我国静脉血栓栓塞症预防相关文献计量学分析[J].介入放射学杂志,2021,30(05):529.
 ZHI Yanru,LI Haiyan,SUN Yudong,et al.Bibliometric analysis on the prevention of venous thromboembolism in China[J].journal interventional radiology,2021,30(03):529.
[8]唐雅琪,泮思林,罗 刚.新型生物可降解下腔静脉滤器研究现状[J].介入放射学杂志,2022,31(04):418.
 TANG Yaqi,PAN Silin,LUO Gang..Research status of the novel biodegradable inferior vena cava filter[J].journal interventional radiology,2022,31(03):418.
[9]陈媛媛,王晓燕,高 岚,等.“三阶梯”管理模式在提高护士抗凝剂皮下注射规范中的作用[J].介入放射学杂志,2022,31(09):913.
 CHEN Yuanyuan,WANG Xiaoyan,GAO Lan,et al.The effectiveness of “three-step” management mode for improving normative rate of nurses in performing anticoagulant subcutaneous injection[J].journal interventional radiology,2022,31(03):913.

备注/Memo

备注/Memo:
(收稿日期:2022- 01- 25)
(本文编辑:边 佶)
更新日期/Last Update: 2023-03-28