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下腔静脉滤器支杆断裂后的血管外迁移

Extravascular Migration of a Fractured Inferior Vena Cava Filter Strut.

作者信息

Lim Jung Hyeon, Lee Weon Yong, Ra Yong Joon, Jeong Jae Han, Park Bong Suk, Ko Ho Hyun

机构信息

Department of Cardiothoracic Surgery, Hanllym University Sacred Heart Hospital, Hanllym University College of Medicine.

Department of Cardiothoracic Surgery, Chosun University Hospital, Chosun University College of Medicine.

出版信息

Korean J Thorac Cardiovasc Surg. 2017 Jun;50(3):224-227. doi: 10.5090/kjtcs.2017.50.3.224. Epub 2017 Jun 5.

DOI:10.5090/kjtcs.2017.50.3.224
PMID:28593162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5460973/
Abstract

A 20-year-old man presented with a femur fracture and epidural hemorrhage (EDH) following a fall. One month after fracture surgery, swelling developed in both legs, and he was diagnosed as having a deep-vein thrombosis and pulmonary embolism. A retrievable inferior vena cava filter (IVCF) was inserted, because EDH is a contraindication to anticoagulants. Four months later, he complained of abdominal pain, and a computed tomography scan showed a fractured IVCF strut. After percutaneous removal failed 3 times, the IVCF was surgically removed by orthopedists using a portable image intensifier without cardiopulmonary bypass.

摘要

一名20岁男性在跌倒后出现股骨骨折和硬膜外血肿（EDH）。骨折手术后一个月，双腿出现肿胀，他被诊断为深静脉血栓形成和肺栓塞。由于硬膜外血肿是抗凝剂的禁忌证，因此植入了可回收下腔静脉滤器（IVCF）。四个月后，他主诉腹痛，计算机断层扫描显示IVCF支柱骨折。经皮取出失败3次后，骨科医生使用便携式影像增强器在无体外循环的情况下通过手术取出了IVCF。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a704/5460973/ae4006cdbda1/kjtcvs-50-224f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a704/5460973/63a5e876c8b0/kjtcvs-50-224f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a704/5460973/2c1548675aee/kjtcvs-50-224f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a704/5460973/ae4006cdbda1/kjtcvs-50-224f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a704/5460973/63a5e876c8b0/kjtcvs-50-224f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a704/5460973/2c1548675aee/kjtcvs-50-224f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a704/5460973/ae4006cdbda1/kjtcvs-50-224f3.jpg

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本文引用的文献

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Tex Heart Inst J. 2015 Apr 1;42(2):181-3. doi: 10.14503/THIJ-13-4007. eCollection 2015 Apr.
2
Fracture and distant migration of the Bard Recovery filter: a retrospective review of 363 implantations for potentially life-threatening complications.巴德回收滤器断裂并发生远处迁移：363 例潜在危及生命并发症的植入患者的回顾性研究
J Vasc Interv Radiol. 2012 Feb;23(2):199-205.e1. doi: 10.1016/j.jvir.2011.10.017. Epub 2011 Dec 20.
3
Fractured inferior vena cava filter strut presenting as a penetrating foreign body in the right ventricle: report of a case.
下腔静脉滤器支杆断裂表现为右心室内的穿透性异物：病例报告
J Card Surg. 2008 Jul-Aug;23(4):378-81. doi: 10.1111/j.1540-8191.2007.00539.x. Epub 2008 Jul 1.
4
Acute pulmonary embolism.急性肺栓塞
N Engl J Med. 2008 Mar 6;358(10):1037-52. doi: 10.1056/NEJMra072753.
5
Outcomes with retrievable inferior vena cava filters: a multicenter study.可回收下腔静脉滤器的治疗效果：一项多中心研究。
J Vasc Interv Radiol. 2006 Oct;17(10):1595-604. doi: 10.1097/01.RVI.0000239102.02956.65.
6
Guidelines on use of vena cava filters.腔静脉滤器使用指南。
Br J Haematol. 2006 Sep;134(6):590-5. doi: 10.1111/j.1365-2141.2006.06226.x. Epub 2006 Jul 26.
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Experience with the recovery filter as a retrievable inferior vena cava filter.可回收下腔静脉滤器——回收过滤器的应用经验
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