Cook腔静脉滤器回收时机探讨  

Discussion on the optimal retrieval time of Cook Medical inferior vena cava filters

作　　者：施洪峰[1] 肖颖[1] 隋守光[1] 邓益民[1] 李玮[1] 张晓飞[1] 钟孟飞[1] 

机构地区：[1]胜利油田中心医院血管介入科,山东东营257034

出　　处：《介入放射学杂志》2015年第10期906-909,共4页Journal of Interventional Radiology

摘　　要：目的探讨腔静脉滤器(VCF)Gunther Tulip和Cook Celcet回收的合适时机。方法 2013年3月至2015年4月胜利油田中心医院共为58例患者施行VCF植入术,其中植入Gunther Tulip和Cook Celcet分别为13例和31例,有21例患者遵嘱在3个月内复诊接受回收术。结果 21例患者中19例VCF顺利回收,Gunther Tulip(平均植入54.4 d,最长79 d)顺利回收3例,失败2例;Cook Celcet(平均植入37.6 d,最长67 d)顺利回收16例,回收成功率100%。结论尽管有较多VCF长时间留置仍能安全回收的病例,但尽早行回收术有助于提高VCF回收率。Cook Celcet似乎是更好的选择,但较昂贵。Objective To discuss the optimal retrieval time of the indwelling Gunther Tulip and Cook Celeet inferior vena cava filters （VCF）. Methods During the period from March 2013 to April 2015 at Shengli Oilfield Central Hospital, the implantation of retrievable inferior vena eava filter was performed in 58 patients. Among the 58 patients, Gunther Tulip VCF was used in 13 and Cook Celcet VCF was employed in 31. Twenty-one patients followed the doctor＇s advice to receive retrieval procedure of VCF within three months after the implantation. Results Among the 21 patients, successful retrieval of VCF was obtained in 19. The mean indwelling time of Gunther Tulip VCF was 54.4 days, the longest time being 79.0 days. Gunther Tulip VCF was successfully removed in 3 patients and retrieval of VCF failed in 2 patients, with a retrieval success rate of 60%. The mean indwelling time of Cook Celcet VCF was 37.6 days, the longest time being 67.0 days. Cook Celeet VCF was successfully removed in 16 patients, with the success rate of retrieval being 100%. Conclusion Despite many VCFs that have been indwelled for a long time can be safely retrieved, retrieval procedure should be performed as early as possible in order to improve the retrieval success rate of VCF. It seems that the use of Cook Celcet VCF is a better choice although it is more expensive.

关 键 词：下肢深静脉血栓形成 腔静脉滤器 滤器回收 

分 类 号：R543.6[医药卫生—心血管疾病]