Köcher Martin, Krcova Vera, Cerna Marie, Prochazka Martin
Department of Radiology, University Hospital, IP Pavlova 6, 775 20 Olomouc, Czech Republic.
Eur J Radiol. 2009 Apr;70(1):165-9. doi: 10.1016/j.ejrad.2007.12.011. Epub 2008 Feb 1.
To evaluate the feasibility and efficacy of the retrievable Günther Tulip Vena Cava Filter in the prevention of pulmonary embolism in patients with acute deep vein thrombosis in the perinatal period and to discuss the technical demands associated with the filter's implantation and retrieval.
Between 1996 until 2007, eight women (mean age 27.4 years, range 20-42 years) with acute deep iliofemoral venous thrombosis in the perinatal period of pregnancy and increased risk of pulmonary embolism during delivery were indicated for retrievable Günther Tulip Vena Cava Filter implantation. All filters were inserted and removed under local anesthesia from the jugular approach.
The Günther Tulip Vena Cava Filter was implanted suprarenally in all patients on the day of caesarean delivery. In follow-up cavograms performed just before planned filter removal, no embolus was seen in the filter in any patient. In all patients the filter was retrieved without complications on the 12th day after implantation.
Retrievable Günther Tulip Vena Cava Filters can be inserted and removed in patients during the perinatal period without major complications.
评估可回收的 Günther Tulip 下腔静脉滤器在预防围产期急性深静脉血栓形成患者肺栓塞方面的可行性和有效性，并探讨与滤器植入和取出相关的技术要求。
1996 年至 2007 年期间，8 名围产期急性髂股深静脉血栓形成且分娩期间肺栓塞风险增加的女性（平均年龄 27.4 岁，范围 20 - 42 岁）被纳入可回收的 Günther Tulip 下腔静脉滤器植入适应证。所有滤器均在局部麻醉下经颈静脉途径插入和取出。
所有患者均在剖宫产当天将 Günther Tulip 下腔静脉滤器植入肾上水平。在计划取出滤器前进行的随访腔静脉造影中，未在任何患者的滤器中发现栓子。所有患者在植入后第 12 天取出滤器，均无并发症。
可回收的 Günther Tulip 下腔静脉滤器可在围产期患者中插入和取出，且无重大并发症。
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