Gunn Andrew J, Iqbal Shams I, Kalva Sanjeeva P, Walker T Gregory, Ganguli Suvranu, Salazar Gloria M, Oklu Rahmi, Wicky Stephan
Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
Vasc Endovascular Surg. 2013 Feb;47(2):97-101. doi: 10.1177/1538574412473186. Epub 2013 Jan 10.
To assess the feasibility and safety of intravascular ultrasound (IVUS) to guide inferior vena cava (IVC) filter placement using a single venous puncture technique.
Medical records of all patients who had IVC filters placed under IVUS guidance between January 1, 2005 and December 31, 2011 were retrospectively reviewed for pertinent history, results, and complications. All filters were placed using a single venous puncture technique.
Filters were successfully placed within the IVC in 94% of the patients with 6 malpositioned filters (4 in the iliac veins and 2 in the suprarenal IVC). Complications included groin hematoma (4%), deep venous thrombosis at the site of vascular access (2%), and filter tilt >15° along the long axis of the IVC (2%).
The IVUS-guided IVC filter placement using a single venous puncture technique is technically feasible and safe when compared to case series using a double venous puncture technique.
评估采用单静脉穿刺技术，血管内超声（IVUS）引导下置入下腔静脉（IVC）滤器的可行性和安全性。
回顾性分析2005年1月1日至2011年12月31日期间在IVUS引导下置入IVC滤器的所有患者的病历，以了解相关病史、结果及并发症情况。所有滤器均采用单静脉穿刺技术置入。
94%的患者滤器成功置入IVC内，6个滤器位置不当（4个位于髂静脉，2个位于肾上腺水平以上的IVC）。并发症包括腹股沟血肿（4%）、血管穿刺部位深静脉血栓形成（2%）以及滤器沿IVC长轴倾斜>15°（2%）。
与采用双静脉穿刺技术的病例系列相比，采用单静脉穿刺技术在IVUS引导下置入IVC滤器在技术上是可行且安全的。
