McCowan T C, Ferris E J, Carver D K, Harshfield D L
Department of Radiology, University of Arkansas for Medical Sciences, Little Rock 72205.
Radiology. 1990 Aug;176(2):527-30. doi: 10.1148/radiology.176.2.2367669.
Vena caval filter placement via the right external jugular vein was attempted in 13 cases. Eleven percutaneous vena caval filters of four types were successfully placed in the inferior vena cava. Two of the attempts were unsuccessful. The indications for the external jugular vein approach were obstructive lower-extremity deep venous thrombosis in eight cases and hip or pelvic fractures in three cases; the approach was simply the radiologist's preference in the remaining two cases. There were five minor complications in four patients. None of the complications necessitated operative intervention or changed the clinical course of the patient. The external jugular vein is an excellent alternative route for caval filter placement. The external jugular vein approach does not necessitate surgical cutdown in the operating room for venous access, avoids deep vascular punctures in the neck and groin, and is safe in patients receiving systemic anticoagulation therapy.
尝试通过右颈外静脉放置腔静脉滤器13例。成功将4种类型的11个经皮腔静脉滤器放置在下腔静脉。2例尝试失败。颈外静脉途径的适应证为8例下肢阻塞性深静脉血栓形成和3例髋部或骨盆骨折；其余2例该途径只是放射科医生的偏好。4例患者出现5例轻微并发症。所有并发症均无需手术干预或改变患者的临床病程。颈外静脉是放置腔静脉滤器的极佳替代途径。颈外静脉途径无需在手术室进行手术切开以建立静脉通路，避免颈部和腹股沟深部血管穿刺，并且对于接受全身抗凝治疗的患者是安全的。
