Stavropoulos S William, Clark Timothy, Jacobs Darick, Soulen Michael, Shlansky-Goldberg Richard, Solomon Jeffrey, Baum Richard
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
Acad Radiol. 2002 Apr;9(4):478-81. doi: 10.1016/s1076-6332(03)80195-2.
The authors performed this study to evaluate the use of an antecubital venous approach for inferior vena cava (IVC) filter placement.
An IVC filter was placed in 26 patients (15 men, 11 women) in whom the antecubital vein was the preferred access site. An antecubital vein was accessed with ultrasound guidance and used for IVC filter placement. This same access site was used to place a peripherally inserted central catheter (PICC) in 17 of the 26 patients. Access was obtained via the basilic vein in 15 patients (58%), brachial vein in eight (31%), and cephalic vein in three (12%).
The IVC filter was successfully placed in the infrarenal vena cava in all 26 patients (100%) by using an antecubital vein for access. All filters deployed appropriately without complication. No complications occurred during PICC placement.
The IVC filter can be safely placed via an antecubital vein. When clinically necessary, this site can provide convenient access for the PICC placement.
作者开展本研究以评估采用肘前静脉入路放置下腔静脉（IVC）滤器的情况。
在26例患者（15例男性，11例女性）中放置IVC滤器，这些患者首选肘前静脉作为穿刺部位。在超声引导下穿刺肘前静脉，并用于放置IVC滤器。在这26例患者中的17例中，同一穿刺部位还用于放置经外周静脉穿刺中心静脉导管（PICC）。15例患者（58%）经贵要静脉穿刺，8例（31%）经肱静脉穿刺，3例（12%）经头静脉穿刺。
通过使用肘前静脉作为穿刺入路，所有26例患者（100%）的IVC滤器均成功放置于肾下腔静脉。所有滤器均正确释放，无并发症发生。PICC放置过程中未出现并发症。
IVC滤器可通过肘前静脉安全放置。在临床需要时，该部位可为PICC放置提供便利的穿刺入路。
