University of Pennsylvania Health System, 3600 Chestnut Street, Philadelphia, PA 19104, USA.
Expert Rev Med Devices. 2013 Jan;10(1):135-41. doi: 10.1586/erd.12.65.
The introduction of retrievable inferior vena cava (IVC) filters was an important step in the evolution of deep vein thrombosis/pulmonary embolism management. Their removability makes them preferred to permanent filters in many cases. IVC filter retrieval often occurs at a suboptimal rate, leading to complications associated with long-term placement. Improving retrievability includes solutions for patients being lost to follow-up, filter malpositioning, need arising for permanent IVC filtration, filtration requiring longer than the filter's window of retrievability, and filter compromise by the presence of a large trapped clot. This review explores these strategies for retrieval in detail in hopes of improving IVC filter retrieval rates.
可回收下腔静脉(IVC)过滤器的引入是深静脉血栓形成/肺栓塞管理发展过程中的重要一步。它们具有可回收性,这使得它们在许多情况下比永久性过滤器更受欢迎。IVC 过滤器的回收通常达不到理想的速率,导致与长期放置相关的并发症。提高可回收性包括解决患者失访、过滤器位置不当、需要永久性 IVC 过滤、过滤时间超过过滤器可回收窗口以及大的血栓捕获导致过滤器受损等问题的解决方案。本综述详细探讨了这些回收策略,希望能提高 IVC 过滤器的回收成功率。