Kinney Thomas B
Department of Radiology, University of California San Diego Medical Center, 200 West Arbor Drive, Mail Code 8756, San Diego, California 92103, USA.
J Vasc Interv Radiol. 2003 Apr;14(4):425-40. doi: 10.1097/01.rvi.0000064860.87207.77.
The ravages of thromboembolic disease continue to plague patients despite improvements in diagnostic imaging and anticoagulation regimens. In certain cases, standard medical therapy for thromboembolism is contraindicated, results in complications, or fails to adequately protect patients from embolic insults. These patients are treated with insertion of inferior vena cava (IVC) filters. Although it appears that IVC filters do reduce long-term pulmonary embolism (PE) rates, there may be a higher associated incidence of IVC thrombosis and lower-extremity deep venous thrombosis (DVT) than with anticoagulation alone. This article will address attributes of the theoretical ideal IVC filter, recently introduced IVC filters, complications of use of IVC filters, and results of recent IVC filter studies. Alternative sites for filter placements are then reviewed, along with use of temporary and retrievable IVC filters and use of IVC filters for prophylactic situations.
尽管诊断成像和抗凝方案有所改进，但血栓栓塞性疾病的危害仍继续困扰着患者。在某些情况下，血栓栓塞的标准药物治疗是禁忌的，会导致并发症，或者无法充分保护患者免受栓塞性损伤。这些患者通过植入下腔静脉（IVC）滤器进行治疗。尽管IVC滤器似乎确实降低了长期肺栓塞（PE）的发生率，但与单纯抗凝相比，IVC血栓形成和下肢深静脉血栓形成（DVT）的相关发生率可能更高。本文将探讨理论上理想的IVC滤器的特性、最近推出的IVC滤器、IVC滤器使用的并发症以及最近IVC滤器研究的结果。然后回顾滤器放置的替代部位，以及临时和可回收IVC滤器的使用情况和IVC滤器在预防性情况下的使用情况。
