[1]胡 朋,廖培然,罗银冰,等.导向器辅助下困难下腔静脉滤器取出初步研究[J].介入放射学杂志,2026,(05):501-504.[doi:10.3969/j.issn.1008-794X.2026.05.006 ]
　HU Peng,LIAO Peiran,LUO Yinbing,et al.Orienting device-assisted retrieval of challenging inferior vena cava filters:a preliminary study[J].J Intervent Med,2026,(05):501-504.[doi:10.3969/j.issn.1008-794X.2026.05.006 ]
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导向器辅助下困难下腔静脉滤器取出初步研究()

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

卷:
期数:
2026年05
页码:
501-504
栏目:
血管介入
出版日期:
2026-05-25

文章信息/Info

Title:
Orienting device-assisted retrieval of challenging inferior vena cava filters:a preliminary study
文章编号:
1008-794X(2026)-005-0501-04
作者:
胡 朋;  廖培然;  罗银冰;  韦景鹏;  王昌誉;  何海源;  黄任贵;  罗耀昌
530023 广西壮族自治区南宁 广西中医药大学第一附属医院介入科(胡 朋、罗银冰、韦景鹏、王昌誉、何海源、黄任贵、罗耀昌); 宾阳县中医医院(廖培然)
Author(s):
HU Peng; LIAO Peiran; LUO Yinbing; WEI Jingpeng; WANG Changyu; HE Haiyuan; HUANG Rengui; LUO Yaochang.
Department of Intervention,First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine,Nanning,Guangxi Zhuang Autonomous Region 530023,China
关键词:
下腔静脉滤器;  困难滤器取出;  导向器辅助技术
分类号:
R815
DOI:
10.3969/j.issn.1008-794X.2026.05.006
文献标志码:
A
摘要:
目的 探讨导向器辅助技术在困难下腔静脉滤器取出中应用的安全性和有效性,为复杂病例提供新解决方案。方法 回顾性分析2023年11月至2024年11月在广西中医药大学第一附属医院接受导向器辅助下困难下腔静脉滤器取出术的连续7例患者临床资料。术前通过腹部CT评估滤器倾斜方向及周围解剖特征。术中经右股静脉置入导向器(RUPS-100/TPS01),调整其弯曲角度以支撑滤器伞顶,并旋转导向器使回收钩游离下腔静脉壁,联合鹅颈式抓捕器及8 F MPA Guiding导管完成滤器回收。术后行下腔静脉造影评估并发症。结果 7例患者滤器均成功取出,成功率7/7。中位手术时间58.6 min(15～180 min),中位X线曝光时间38.8 min(6.5～129.3 min)。5例需调整导向器弯曲角度,4例联合8 F MPA Guiding导管增强抓捕指向性。术中3例患者出现轻度腹痛,滤器取出后自行缓解; 未发生滤器断裂、下腔静脉狭窄或撕裂等严重并发症。结论 导向器辅助技术通过精准调整滤器倾斜角度,显著提高了困难下腔静脉滤器取出成功率,具有良好安全性。但其临床应用仍需更大样本量研究进一步验证。

参考文献/References:

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(收稿日期:2025-03-19)
(本文编辑:谷 珂)

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备注/Memo:
通信作者: 罗耀昌 E-mail:luoyaochang8096@163.com
更新日期/Last Update: 2026-05-25