Division of Vascular and Endovascular Surgery, Department of Surgery, New York-Presbyterian Hospital, Weill Cornell Medical Center, New York, NY.
J Vasc Surg. 2012 Jul;56(1):256-9; discussion 259. doi: 10.1016/j.jvs.2011.12.065. Epub 2012 Apr 12.
Late complications of retrievable inferior vena cava (IVC) filters resulting from IVC perforation and erosion into adjacent structures is an increasingly frequent phenomena. We describe six cases of open filter explantation for IVC penetration and offer a novel technique for open filter removal without the need for an extensive cavotomy. All patients had radiographic evidence of filter erosion into pericaval structures requiring open surgical filter explant. Four of the six patients underwent minimal cavatomy filter extraction, eliminating the need for caval reconstruction.
可回收下腔静脉（IVC）过滤器的晚期并发症，包括 IVC 穿孔和侵蚀到相邻结构，是一种越来越常见的现象。我们描述了 6 例因 IVC 穿透而进行的开放式过滤器取出术，并提供了一种新的技术，无需广泛的腔静脉切开术即可进行开放式过滤器去除。所有患者均有放射性影像学证据表明过滤器侵蚀到心包腔结构，需要进行开放式外科过滤器取出术。6 例患者中有 4 例进行了最小的腔静脉切开术过滤器提取，无需进行腔静脉重建。
