[1]贾中芝.下腔静脉滤器断裂相关并发症及治疗策略[J].介入放射学杂志,2021,30(01):14-17.
　JIA Zhongzhi..The inferior vena cava filter fracture-related complications and their treatment strategies[J].journal interventional radiology,2021,30(01):14-17.
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下腔静脉滤器断裂相关并发症及治疗策略()

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

卷:
30
期数:
2021年01
页码:
14-17
栏目:
心脏介入
出版日期:
2021-01-25

文章信息/Info

Title:
The inferior vena cava filter fracture-related complications and their treatment strategies
作者:
贾中芝
Author(s):
JIA Zhongzhi.
Department of Interventional and Vascular Surgery， Changzhou No.2 People’s Hospital， Changzhou， Jiangsu Province 213003， China
关键词:
【关键词】 下腔静脉;  滤器;  断裂;  并发症
文献标志码:
A
摘要:
【摘要】 目的 探讨下腔静脉滤器（IVCF）断裂的相关并发症及治疗策略。方法 检索PubMed数据库中有关IVCF断裂的文献，对相关数据进行汇总分析。结果 共纳入59篇研究文献（个案31篇，论著28篇），涉及16种类型IVCF（永久型5种，可回收型11种），共4 392例患者。其中223例患者发生IVCF断裂，中位发生时间为滤器置入后30.4个月。断裂的支撑杆位置依次为下腔静脉（54.0%）、肺动脉（19.9%）、右心室（14.2%）、其他（11.9%）。80例（35.9%）有断裂支撑杆处理措施，如随访观察（65.0%）、腔内介入取出（17.5%）、外科手术取出（15.0%）、药物保守治疗（2.5%）；88例（39.5%）有断裂IVCF处理措施，如随访观察（61.4%）、腔内介入取出（35.2%）、外科手术取出（3.4%）。IVCF断裂相关严重并发症8例（3.6%），其中心脏压塞6例，完全性房室传导阻滞1例，猝死1例。 结论 各种IVCF均可发生断裂。断裂的支撑杆近半数分布于远隔脏器，1/5患者有临床症状，15%需外科干预，3.6%出现严重并发症，甚至死亡。

参考文献/References:

［1］ 贾中芝. 下腔静脉滤器常见并发症影像诊断与治疗策略［J］. 中国影像介入与治疗学， 2018， 15：179- 183.
［2］ Jia Z， Wu A， Tam M， et al. Caval penetration by inferior vena cava filters： a systematic literature review of clinical significance and management［J］. Circulation， 2015， 132：944- 952.
［3］ 李绍钦， 贾中芝， 喻贤珍， 等. 滤器致下腔静脉穿孔1 例［J］. 介入放射学杂志， 2017， 26：411- 412.
［4］ Tian YL， Zhong HS ， Zhang W， et al. Retroperitoneal hematoma after implantation of double inferior vena cava filters［J］. J Intervent Med， 2018， 1：252- 256.
［5］ Wang W， Zhou D， Obuchowski N， et al. Fracture and migration of Celect inferior vena cava filters： a retrospective review of 741 consecutive implantations［J］. J Vasc Interv Radiol， 2013， 24：1719- 1722.
［6］ Rogers NA， Nguyen L， Minniefield NE， et al. Fracture and embolization of an inferior vena cava filter strut leading to cardiac tamponade［J］. Circulation， 2009， 119：2535- 2536.
［7］ Nicholson W， Nicholson WJ， Tolerico P， et al. Prevalence of fracture and fragment embolization of Bard retrievable vena cava filters and clinical implications including cardiac perforation and tamponade［J］. Arch Intern Med， 2010， 170：1827- 1831.
［8］ Vijay K， Hughes JA， Burdette AS， et al. Fractured Bard Recovery， G2， and G2 express inferior vena cava filters： incidence， clinical consequences， and outcomes of removal attempts［J］. J Vasc Interv Radiol， 2012， 23：188- 194.
［9］ Dowell JD， Wang W， Spain JW. Symptomatic perforation of a gunther tulip inferior vena cava filter with subsequent strut fracture and pulmonary embolization［J］. Cardiovasc Intervent Radiol， 2014， 37：1643- 1646.
［10］ Grewal S， Chamarthy MR， Kalva SP. Complications of inferior vena cava filters［J］. Cardiovasc Diagn Ther， 2016， 6：632- 641.
［11］ 贾中芝， 顾建平. 下腔静脉滤器图像识别［J］. 介入放射学杂志， 2018， 27：101- 106.
［12］ Zhu X， Tam MD， Bartholomew J， et al. Retrievability and device- related complications of the G2 filter： a retrospective study of 139 filter retrievals［J］. J Vasc Interv Radiol， 2011， 22：806- 812.
［13］ Tam MD， Spain J， Lieber M， et al. Fracture and distant migration of the Bard Recovery filter： a retrospective review of 363 implantations for potentially life- threatening complications［J］. J Vasc Interv Radiol， 2012， 23：199- 205.
［14］ Kalva SP， Wicky S， Waltman AC， et al. TrapEase vena cava filter： experience in 751 patients［J］. J Endovasc Ther， 2006， 13：365- 372.

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备注/Memo

备注/Memo:
（收稿日期：2019- 10- 31）
（本文编辑：边 佶）
更新日期/Last Update: 2021-01-25