Cappelli Francesco, Vignini Simone, Baldereschi Giorgio Jacopo
Dept Heart and Vessels, University of Florence, Viale Morgagni 85, 50134 Florence, Italy.
J Invasive Cardiol. 2010 Aug;22(8):E153-5.
Percutaneous placement of an inferior vena cava (IVC) filter is indicated in patients affected by pulmonary embolism or proximal deep venous thrombosis when anticoagulation therapy is contraindicated or there is evidence of thromboembolic recurrence during anticoagulation. Several complications have been reported using IVC filters. Migration is a rare but known and potentially lethal complication of IVC filter placement. In this patient, an ALN IVC filter (ALN Implants Chirurgicaux Ghisonaccia, France) proximal migration occurred from the inferior cava vein to a zone just below the right atrium; it was associated with a complete 180 degrees rotation, and we describe here the procedure employed to successfully remove this filter.
当抗凝治疗禁忌或在抗凝期间有血栓栓塞复发的证据时，对于患有肺栓塞或近端深静脉血栓形成的患者，建议经皮放置下腔静脉（IVC）滤器。使用IVC滤器已报告了几种并发症。移位是IVC滤器放置的一种罕见但已知且可能致命的并发症。在该患者中，一个ALN IVC滤器（法国吉索尼阿的ALN植入物外科公司）从下腔静脉向刚好位于右心房下方的区域发生近端移位；它伴有180度完全旋转，我们在此描述成功取出该滤器所采用的 procedure。（此处“procedure”未翻译，原文可能有误，推测应为“过程”之类的词）
