肾静脉上下腔静脉滤器置入在静脉血栓栓塞症治疗中的应用  

Application of suprarenal inferior vena cava filter placement in patients with venous thromboembolism

作　　者：黄乾鑫 张庆桥[1] 徐浩[1] 祖茂衡[1] 顾玉明[1] 魏宁[1] 许伟[1] 崔艳峰[1] 

机构地区：[1]徐州医学院附属医院介入放射科,221006

出　　处：《中华医学杂志》2015年第25期1997-1999,共3页National Medical Journal of China

摘　　要：目的 评价肾静脉上下腔静脉（IVC）滤器置入在静脉血栓栓塞症（VTE）治疗中的安全性和疗效.方法 2006年5月至2014年12月,徐州医学院附属医院收治的28例VTE患者施行了肾上IVC滤器置入联合抗凝和（或）经导管溶栓治疗.术后随访采用彩色多普勒超声观察IVC通畅情况.结果 所有患者成功置入1枚滤器于肾上IVC.26例患者滤器留置5～17（11±3）d后取出;2例滤器永久留置.术中全部患者无滤器倾斜、移位等并发症.术后28例患者随访2～ 104（34 ±34）个月,2例滤器永久留置患者,无复发性肺栓塞及IVC阻塞.26例滤器取出患者IVC血流均通畅.结论 在VTE治疗中,肾静脉上IVC滤器置入是安全、有效的方法.Objective To evaluate the safety and efficacy of suprarenal inferior vena cava （IVC） filter implantation in patients with venous thromboembolism （VTE）.Methods Between May 2006 and December 2014,28 patients with VTE underwent suprarenal IVC filter implantation,anticoagulant treatment and/or catheter-directed thrombolysis at the affiliated hospital of Xuzhou medical college.Follow up examination with color Doppler ultrasound was taken after treatment to eassess the patency of IVC.Results One filter was successfully implanted in suprarenal IVC in each patient intraoperatively.The filter was retrieved in 26 patients after indwelling of 5 to 17 （mean 11 ± 3） days.The filter was permanently indwelled in 2 patients.There were no complications of filter tilt and migration in all cases.Twenty eight patients were followed up for 2 to 104 （mean 34 ± 34） months.None of the 2 patients whose filters were permanently indwelled presented complications of recurrent pulmonary embolism and IVC occlusion due to the filter.Among 26 patients whose filters were retrieved,the IVC was patent.Conclusion Suprarenal IVC filter placement is a safe and effective method in the treatment of VTE.

关 键 词：静脉血栓栓塞 腔静脉 下 腔静脉滤器 

分 类 号：R543.6[医药卫生—心血管疾病]