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在肾下腔静脉重复畸形的患者中进行双侧下腔静脉滤器植入术。

Bilateral inferior vena cava filter insertion in a patient with duplication of the infrarenal vena cava.

机构信息

Department of Radiology, Cork University Hospital, Wilton, Cork, Ireland.

出版信息

Ir J Med Sci. 2012 Sep;181(3):389-91. doi: 10.1007/s11845-010-0492-4. Epub 2010 Jun 19.

DOI:10.1007/s11845-010-0492-4
PMID:20563757
Abstract

BACKGROUND

Inferior vena cava (IVC) filter insertion is a commonly performed procedure for indications such as recurrent pulmonary emboli or contraindication to anticoagulation. Symptomatic duplication of the IVC is exceedingly rare with only a handful of cases being described in the literature.

AIM

We report an unusual case of a patient with symptomatic duplication of the IVC.

RESULT

A 53-year-old woman presented at our hospital for resection of a cerebral metastasis from a non-small cell lung cancer following a recent diagnosis of bilateral lower limb deep venous thrombosis. This required perioperative reversal of anticoagulation and IVC filter insertion. Conventional venography performed during filter insertion documented the existence of a duplicated IVC.

CONCLUSION

We present a case of a symptomatic duplication of the IVC requiring filter insertion. We review the developmental anatomy of the IVC along with the diagnostic findings and management strategies available.

摘要

背景

下腔静脉(IVC)滤器置入术是一种常见的手术,用于治疗复发性肺栓塞或抗凝禁忌等适应症。IVC 重复极为罕见,文献中仅描述了少数几例。

目的

我们报告一例 IVC 重复的症状性病例。

结果

一名 53 岁女性因最近诊断出双侧下肢深静脉血栓形成,来我院接受非小细胞肺癌脑转移灶切除术。这需要在围手术期逆转抗凝治疗并置入 IVC 滤器。在置入滤器期间进行的常规静脉造影术记录了 IVC 重复的存在。

结论

我们报告了一例需要滤器置入的症状性 IVC 重复病例。我们回顾了 IVC 的发育解剖,以及现有的诊断发现和管理策略。

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Bilateral inferior vena cava filter insertion in a patient with duplication of the infrarenal vena cava.在肾下腔静脉重复畸形的患者中进行双侧下腔静脉滤器植入术。
Ir J Med Sci. 2012 Sep;181(3):389-91. doi: 10.1007/s11845-010-0492-4. Epub 2010 Jun 19.
2
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Medicine (Baltimore). 2025 Feb 28;104(9):e41748. doi: 10.1097/MD.0000000000041748.
2
Management of acute lower extremity deep venous thrombosis in a patient with duplicated inferior vena cava and contraindication to anticoagulation: case and review of the literature.下腔静脉重复畸形且有抗凝禁忌的患者急性下肢深静脉血栓形成的管理:病例报告及文献复习
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本文引用的文献

1
Long-term efficacy of two vena cava filter implants for congenital duplicated inferior vena cava.两种腔静脉滤器植入治疗先天性重复下腔静脉的长期疗效
Arch Cardiovasc Dis. 2009 Jan;102(1):77-8. doi: 10.1016/j.acvd.2008.06.009. Epub 2008 Sep 3.
2
Double vena cava filter insertion in congenital duplicated inferior vena cava: a case report and literature review.先天性重复下腔静脉中双腔静脉滤器置入:一例报告及文献复习
Haematologica. 2006 Jun;91(6 Suppl):ECR30.
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Guidelines for the use of retrievable and convertible vena cava filters: report from the Society of Interventional Radiology multidisciplinary consensus conference.
可回收和可转换腔静脉滤器的使用指南:来自介入放射学会多学科共识会议的报告。
J Vasc Interv Radiol. 2006 Mar;17(3):449-59. doi: 10.1097/01.rvi.0000203418-39769.0d.
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Inferior vena cava duplication and deep venous thrombosis: case report and review of literature.下腔静脉重复畸形与深静脉血栓形成:病例报告及文献复习
Ann Vasc Surg. 2005 Sep;19(5):740-3. doi: 10.1007/s10016-005-5674-6.
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A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis. Prévention du Risque d'Embolie Pulmonaire par Interruption Cave Study Group.一项关于腔静脉滤器预防近端深静脉血栓形成患者肺栓塞的临床试验。腔静脉阻断预防肺栓塞风险研究组。
N Engl J Med. 1998 Feb 12;338(7):409-15. doi: 10.1056/NEJM199802123380701.
6
Steel coil embolization supplementing filter placement in a patient with a duplicated inferior vena cava.钢圈栓塞术辅助下腔静脉重复畸形患者放置滤器。
J Vasc Interv Radiol. 1992 Aug;3(3):577-80. doi: 10.1016/s1051-0443(92)72019-3.