Division of Pulmonary and Critical Care Medicine, Room 351, Bell Building, Box 31175, Duke University Medical Center, Durham, NC, 27710, USA.
Clin Chest Med. 2010 Dec;31(4):771-81. doi: 10.1016/j.ccm.2010.07.008.
Therapeutic strategies other than anticoagulation sometimes require consideration in the setting of acute venous thromboembolism. Vena caval filter placement is increasingly common, in part because of the availability of nonpermanent filter devices. Filter placement, surgical embolectomy, and catheter embolectomy have not been subjected to the same prospective, randomized clinical trial scrutiny as anticoagulation but seem appropriate in certain clinical settings. The indications, contraindications, and available data supporting these therapeutic methods are discussed.
在急性静脉血栓栓塞的治疗中，除抗凝治疗以外的其他治疗策略有时也需要考虑。腔静脉滤器的放置越来越常见，部分原因是因为出现了非永久性滤器装置。滤器的放置、手术取栓和导管取栓并未像抗凝治疗那样经过同样的前瞻性随机临床试验的检验，但在某些临床情况下似乎是合适的。本文讨论了这些治疗方法的适应证、禁忌证和支持其应用的数据。
