[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:

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[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.
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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