[1]肖 亮,童家杰,解世洋,等.导管辅助法回收贴壁Günther Tulip滤器的初步经验[J].介入放射学杂志,2011,(05):372.
 XIAO Liang,TONG Jia-jie,XIE Shi-yang,et al. Catheter-assisted retrieval of adhesive Günther Tulip filter preliminary experience[J].journal interventional radiology,2011,(05):372.
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导管辅助法回收贴壁Günther Tulip滤器的初步经验()

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

卷:
期数:
2011年05期
页码:
372
栏目:
血管介入
出版日期:
2011-05-30

文章信息/Info

Title:

Catheter-assisted retrieval of adhesive Günther Tulip filter preliminary experience

作者:
肖 亮 童家杰 解世洋 申 景
110001  沈阳 中国医科大学附属第一医院放射科
Author(s):
XIAO Liang TONG Jia-jie XIE Shi-yang SHEN Jing

Department of Radiology, First Affiliated Hospital of China Medical University, Shenyang 110001, China

关键词:
静脉血栓形成 肺栓塞 导管辅助 Günther Tulip滤器
分类号:
R543.6
文献标志码:
A
摘要:
目的 回顾导管辅助法回收贴壁Tulip下腔静脉滤器的技巧。方法 2007年11月至2009年10月收治肺动脉栓塞及急性下肢深静脉血栓形成(DVT)患者95例,对其中6例(男4例,女2例;年龄24 ~71岁,平均43.7岁)单纯捕捉器法未能成功捕获滤器的患者,采用导管辅助法行下腔静脉滤器取出术。具体是在下腔静脉造影证实滤器回收钩贴壁后,使用导管结合鹅颈捕捉器剥离粘连、回收滤器。术后对患者给予抗凝、抗炎治疗3 ~ 5 d。随访4 ~ 12个月,复查血管超声及肺动脉3D CTA。结果 成功回收6例患者的Tulip滤器。采用的操作技术包括导管扭转(1例)、导管成襻(1例)、导管捕捉器成襻(4例)。回收过程平均用时40.5 min(17 ~ 78 min)。滤器在体内留置时间平均为46.7 d( 14 ~ 80 d)。随访期间未出现下肢静脉血栓形成及肺动脉栓塞。结论 导管辅助法对于贴壁Tulip滤器的回收率较高,可明显提高Tulip下腔静脉滤器回收成功率。

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备注/Memo

备注/Memo:
收稿日期:20101202
更新日期/Last Update: 2011-05-30