[1]邵国良,李焕祥,韩苏阳,等. 上腔静脉可回收滤器的置入六例[J].介入放射学杂志,2011,(12):993-996.
 SHAO Guo-liang,LI Huan-xiang,HAN Su-yang,et al. The implantation of retrievable superior vena cava filter report of 6 cases[J].journal interventional radiology,2011,(12):993-996.
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 上腔静脉可回收滤器的置入六例 ()

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

卷:
期数:
2011年12期
页码:
993-996
栏目:
临床研究
出版日期:
2011-12-30

文章信息/Info

Title:

The implantation of retrievable superior vena cava filter report of 6 cases

作者:
 邵国良   李焕祥   韩苏阳   郑家平   陈玉堂   练维生   夏启荣
310022 杭州 浙江省肿瘤医院放射科,青海省人民医院介入科
Author(s):
SHAO Guo-liang LI Huan-xiang HAN Su-yang ZHENG Jia-ping CHEN Yu-tang LIAN Wei-sheng XIA Qi-rong.
Department of Radiology, Zhejiang Provincial Cancer Hospital, Hangzhou 310022, China
关键词:
 【关键词】   上腔静脉 滤器 血栓
分类号:
R543.6
文献标志码:
A
摘要:
 【摘要】   目的   探讨上腔静脉内临时滤器置入术的操作技术和临床意义。方法   经彩色多普勒超声及静脉造影证实的颈静脉和上肢深静脉血栓患者6例,在DSA机下实施上腔静脉内临时滤器置入术。患者均为恶性肿瘤患者。静脉血栓的病因3例为中央静脉插管所致,3例为恶性肿瘤压迫侵犯。滤器置入经右侧股静脉途径,行上腔静脉造影后,经导丝引导将滤器释放系统送入上腔静脉,定位于左右头臂静脉汇合稍下方释放滤器,滤器回收时也采用股静脉途径。结果 所有患者均成功置入滤器,术中未发现移位、脱落现象。2例患者分别于术后15、29 d经彩色多普勒超声复查血栓消失,经右侧股静脉途径回收滤器,另外4例患者不愿取出,一直随访。在随访期间有5例患者由于肿瘤进展等与滤器置入无关的原因分别在2 ~ 16个月内死亡,但均没有出现上腔静脉血栓或肺栓塞的事件和滤器的脱落、穿孔等并发症。结论 上腔静脉可回收滤器置入术操作简单,术后可回收,是一种安全可行的方法,有助于预防颈静脉或上肢深静脉血栓脱落造成的肺栓塞和与滤器长期置入有关的并发症。

参考文献/References:

[1] Grassi CJ, Swan TL, Cardella JF, et al. Quality improvement guidelines for percutaneous permanent inferior vena cava filter placement for the prevention of pulmonary embolism[J]. J Vasc Interv Radiol, 2003, 14: S271 - S275.
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[8] 谷涌泉, 张 建, 李建新, 等. 上腔静脉血栓滤器植入预防肺动脉栓塞二例[J]. 中华普通外科杂志, 2003, 18: 249.

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备注/Memo

备注/Memo:
(收稿日期:2011-07-21)
更新日期/Last Update: