Brown Andy P, Miller Michael J, Smith Tony P
Department of Radiology, Duke University Medical Center, Durham, North Carolina.
Semin Intervent Radiol. 2007 Sep;24(3):312-5. doi: 10.1055/s-2007-985741.
Placement of inferior vena cava (IVC) filters is an increasingly common request at our institution. The rise in utilization of caval filtration is probably multifactorial and includes pulmonary embolism (PE) prophylaxis most notably in the setting of trauma, the approval and widespread use of temporary/removable filters, and the perceived low complication rates associated with new generation filter designs. We present a unique case of IVC penetration by a new generation filter that resulted in a retroperitoneal hemorrhage in a fully anticoagulated patient.
在下腔静脉(IVC)放置滤器在我们机构是一个越来越常见的需求。腔静脉滤器使用的增加可能是多因素的,最显著的是包括在创伤情况下预防肺栓塞(PE)、临时/可移除滤器的批准和广泛使用,以及与新一代滤器设计相关的低并发症发生率。我们报告了一例独特的病例,即新一代滤器穿透下腔静脉,导致一名完全抗凝的患者发生腹膜后出血。