Montgomery Jennifer P, Kaufman John A
Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Department of Interventional Radiology, Dotter Interventional Institute, Oregon Health and Science University Hospital, Portland, Oregon.
Semin Intervent Radiol. 2016 Jun;33(2):79-87. doi: 10.1055/s-0036-1582121.
Inferior vena cava filters have been placed in patients for decades for protection against pulmonary embolism. The widespread use of filters has dramatically increased owing at least in part to the approval of retrievable vena cava filters. Retrievable filters have the potential to protect against pulmonary embolism and then be retrieved once no longer needed to avoid potential long-term complications. There are several retrievable vena cava filters available for use. This article discusses the different filter designs as well as the published data on these available filters. When selecting a filter for use, it is important to consider the potential short-term complications and the filters' window for retrieval. Understanding potential long-term complications is also critical, as these devices are approved for permanent placement and many filters are not retrieved. Finally, this article will address research into new designs that may be the future of vena cava filtration.
几十年来,下腔静脉滤器一直被用于患者以预防肺栓塞。滤器的广泛使用至少部分地因可回收下腔静脉滤器的获批而显著增加。可回收滤器有预防肺栓塞的潜力,并且一旦不再需要可将其取出以避免潜在的长期并发症。有几种可回收下腔静脉滤器可供使用。本文讨论了不同的滤器设计以及有关这些可用滤器的已发表数据。在选择使用滤器时,考虑潜在的短期并发症以及滤器的取出窗口期很重要。了解潜在的长期并发症也至关重要,因为这些装置被批准可永久放置,而且许多滤器并未被取出。最后,本文将探讨可能成为未来下腔静脉滤过技术的新设计研究。