Schneider P A, Geissbühler P, Piguet J C, Bounameaux H
Department of Radiology and Medicine, University Hospital of Geneva, Switzerland.
Cardiovasc Intervent Radiol. 1990 Dec;13(6):378-80. doi: 10.1007/BF02578680.
We have treated 34 patients with the Günther filter. Follow-up ranged from 5 to 891 days (median 129). Eight patients died 5-352 days (median 26) after filter insertion, without relation to the procedure. Six of them had extensive cancer. At 2 weeks, a mean caudal migration of 27 +/- 20 mm of the Günther filter was observed (n = 24). No significant migration occurred later than 2 weeks. In 2 patients, downward displacement of the device to the iliocaval junction was observed, with recurrent embolism in 1 case. A second filter was placed in the infrarenal vena cava in both cases. There was no other recurrent embolism and no sign of vena caval occlusion.
我们使用金特过滤器治疗了34例患者。随访时间为5至891天（中位数为129天）。8例患者在过滤器植入后5至352天（中位数为26天）死亡，与手术无关。其中6例患有广泛癌症。在2周时，观察到金特过滤器平均向尾端迁移27±20毫米（n = 24）。2周后未发生明显迁移。在2例患者中，观察到装置向下移位至髂总静脉交界处，1例出现复发性栓塞。在这两例病例中均在下腔静脉肾下段放置了第二个过滤器。没有其他复发性栓塞，也没有腔静脉阻塞的迹象。
