改良Tempofilter Ⅱ临时滤器对导管源性颈内静脉血栓拔管后肺栓塞的预防效果  

Preventive Effects of Modified Tempofilter Ⅱ Temporary Filter on Pulmonary Embolism after Decannulation in Catheter-Related Jugular Thrombosis

作　　者：蒋俊豪[1] 董智慧[1] 石赟[1] 

机构地区：[1]复旦大学附属中山医院血管外科,上海200032

出　　处：《中国临床医学》2014年第2期209-211,共3页Chinese Journal of Clinical Medicine

摘　　要：目的：探索应用改良Tempofilter Ⅱ临时滤器预防导管源性颈内静脉血栓拔管后肺栓塞的效果。方法：选择2009年11月-2013年7月发生导管源性颈内静脉血栓的患者27例，于拔管前将改良Tempofilter Ⅱ下腔静脉临时滤器植入上腔静脉内，并于术后24-48h回收滤器。结果：5例患者在回收滤器内发现血栓性栓子，大小分别为5、7、8、12、16mm，发生率为18．5％（5／27）。所有病例均未发生症状性肺栓塞，术后3～5d肺动脉CT血管成像（CT angiography，CTA）和下肢静脉超声随访均未发现明显肺栓塞和下肢深静脉血栓征象。结论：植入改良Tempofilter Ⅱ临时滤器能有效预防导管源性颈内静脉血栓拔管后肺栓塞，且操作简便、安全性高。Objective：To optimize the application of modified Tempofilter Ⅱ temporary filter in the prevention of pulmonary embolism after decannulation in catheter-related jugular thrombosis. Methods： From Nov 2009 to Jul 2013,27 patients with catheter-related jugular thrombosis revealed by ultrasonography have been enrolled. Tempofilter Ⅱ , A modified temporary filter, was placed in a modified way in superior vena eava before deeannulation and retrieved within 24-48 h after the procedure. Results： Thrombotic emboli were found in the retrieved filters in 18.5% （5/27） of the patients. The emboli were 5,7,8,12 and 16 mm in length, respectively. None of the 27 patients experienced symptomatic pulmonary embolism. Pulmonary CT angiography （CTA） and duplex scanning revealed no trace of pulmonary embolism or deep venous thrombosis in the lower limb during the 3-5 d postoperative follow-up. Conclusions： Modified Tempofilter Ⅱ temporary filter placement can effectively prevent pul- monary embolism after decannulation in catheter-related jugular thrombosis.

关 键 词：临时滤器 导管源性血栓 颈内静脉 肺栓塞 

分 类 号：R563.5[医药卫生—呼吸系统]