下腔静脉滤器预防肺栓塞及其并发症  

Inferior vena cava filter placement for the prevention of pulmonary embolism and the complications related to the filter placement

作　　者：李建明[1] 贾广志[1] 秦孝军[1] 

机构地区：[1]内蒙古医学院第一附属医院介入科,呼和浩特010050

出　　处：《介入放射学杂志》2009年第12期900-903,共4页Journal of Interventional Radiology

摘　　要：目的探讨下腔静脉滤器置入术(IVCF)预防肺动脉栓塞(PE)的疗效、相关并发症及处理。方法70例下肢深静脉血栓患者,溶(取)栓术前均行下腔静脉滤器置入术:永久性Trap Ease滤器(TEF)20枚,永久性Vena Tech滤器(VTF)31枚,可回收性OptEaseTM滤器(OEF)13枚,临时性Tempo Ⅱ滤器8枚;71枚位置在肾静脉开口下方,1枚位置在肾静脉开口上方。结果术后随访8～72个月。70例中,无一例出现PE,6例出现相关的并发症。结论下腔静脉滤器置入可以有效预防肺梗死,但应严格掌握适应证。Objective To investigate the effects of inferior vena cava（IVC）filter placement for the prevention of fatal pulmonary embolism and to discuss the management of complications related to the filter placement.Methods Seventy patients with proved deep vein thrombosis of lower extremity underwent inferior vena cava filter placement.A total of 72 IVC filters were implanted,which included 20 Trap Ease filters,31 Vena Tech filters,13 retrievable OptEaseTM filters and 8 TempoⅡfilters.One filter was deployed above the orifice of renal vein and the remaining 71 were deployed below the orifice of renal vein.Results All the patients were followed up for 8-72 months after the procedure.During the follow-up period no fatal pulmonary embolism occurred except that some complications related to the filter placement occurred in 6 cases. Conclusion Inferior vena cava filter placement can effectively prevent the occurrence of pulmonary embolism.Of course,this treatment should be strictly applied according to the indications.

关 键 词：下腔静脉滤器 深静脉血栓 肺栓塞 并发症 

分 类 号：R543.6[医药卫生—心血管疾病]