| 张曦彤,安建立,王毅堂,杨东炜,任东铭,韩洪波,洪铎,肖亮,夏永辉,徐克.可回收式滤器在静脉血栓-栓塞病变介入治疗中的应用[J].中国医学影像技术,2010,26(10):1964~1967 |
| 可回收式滤器在静脉血栓-栓塞病变介入治疗中的应用 |
| Retrievable vena cava filters in the interventional treatment of venous thrombi embolism |
| 投稿时间：2010-03-20 修订日期：2010-05-05 |
| DOI： |
| 中文关键词: 静脉血栓形成 肺栓塞 溶栓治疗 腔静脉滤器 |
| 英文关键词:Venous thrombosis Pulmonary embolism Thrombolytic therapy Vena cava filter |
| 基金项目:国家"十一五"科技支撑计划课题项目(2007BAI05B04)。 |
| 作者 | 单位 | E-mail | | 张曦彤 | 中国医科大学附属第一医院放射科,辽宁 沈阳 110001 | zxtjr@sina.com | | 安建立 | 中国医科大学附属第一医院放射科,辽宁 沈阳 110001 | | | 王毅堂 | 沈阳242医院介入科,辽宁 沈阳 110033 | | | 杨东炜 | 朝阳市中心医院普外科,辽宁 朝阳 122000 | | | 任东铭 | 鞍山钢铁集团公司总医院介入科,辽宁 鞍山 114002 | | | 韩洪波 | 中国医科大学附属第一医院放射科,辽宁 沈阳 110001 | | | 洪铎 | 中国医科大学附属第一医院放射科,辽宁 沈阳 110001 | | | 肖亮 | 中国医科大学附属第一医院放射科,辽宁 沈阳 110001 | | | 夏永辉 | 中国医科大学附属第一医院放射科,辽宁 沈阳 110001 | | | 徐克 | 中国医科大学附属第一医院放射科,辽宁 沈阳 110001 | |
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| 中文摘要: |
| 目的 评价两种可回收式滤器在静脉血栓-栓塞病变介入治疗中的有效性及安全性。方法 100例急性和亚急性肢体深静脉血栓形成(DVT)患者(其中肺栓塞62例)接受经导管局部溶栓的同时,置入可回收式滤器(OptEase 72例,Tulip 28例)。对局部溶栓效果较好者考虑进行滤器回收。结果 两种滤器均成功置入下腔静脉(98例)和上腔静脉(2例),无滤器移位。除1例滤器回收失败外,24枚滤器置入后7~50天(平均18.0天)经颈静脉(Tulip滤器15例)或经股静脉(OptEase滤器9例)回收成功。患者住院期间均未发生肺栓塞加重。10例穿刺部位出现较大血肿,2例发生脑出血,4例出现肉眼血尿。结论 可回收式滤器可安全用于DVT的介入治疗,防止致命性肺栓塞的发生;回收简便、安全。 |
| 英文摘要: |
| Objective To evaluate the efficacy, safety and ability of retrievable filters in catheter-directed thrombolysis of venous thrombi embolism. Methods One hundred patients with acute or subacute deep venous thrombosis (DVT) were treated with local catheter-directed thrombolysis and retrievable filters implantation. Seventy-two OptEase filters and 28 Gunther Tulip filters were placed in vena cava. Percutaneous filters retrieving were performed in patients with better iliac-femoral vein flow after effective local thrombolysis. Results Two kinds of filters were implanted into inferior vena cava (n=98) and superior vena cava (n=2) successfully. No filter misplaces and recurred pulmonary embolism (PE) occurred during the treatment. Except one failed retrieve of OptEase filter, 15 Tulip and 9 OptEase filters were retrieved successfully through jugular or femoral route. Peri-operation complications included hematomas at access in 10 patients, intracranial hemorrhage in 2 patients and hematuria in 4 patients. Conclusion All the two kinds of the retrievable vena cava filters can be implanted and retrieved simply and safely. The retrieval of filters should be advocated for patients with DVT. |
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