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一名双下腔静脉患者在67天后成功取出两枚可回收下腔静脉（IVC）滤器。

The Successful Removal of Two Retrievable Inferior Vena Cava (IVC) Filters after 67 Days in a Patient with a Double IVC.

作者信息

Niikura Hiroki, Anzai Hitoshi, Kobayashi Nobuyuki, Nakamura Masato

机构信息

Division of Cardiovascular Medicine, Ohashi Hospital, Toho University Medical Center, Japan.

Division of Cardiovascular Medicine, Ota Memorial Hospital, Japan.

出版信息

Intern Med. 2017;56(13):1667-1671. doi: 10.2169/internalmedicine.56.7817. Epub 2017 Jul 1.

DOI:10.2169/internalmedicine.56.7817
PMID:28674355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5519468/
Abstract

We herein present a case in which two retrievable inferior vena cava (IVC) filters, which were implanted to treat deep-vein thrombosis caused by the compression of a double IVC, were successfully removed on the 67th day after placement. The filters were individually placed in both the left and right IVCs. With a prevalence of only 0.2%, a double IVC is an extremely rare anatomical variation. The long-term effects of IVC filters are unknown, and the placement of a filter potentially introduces the risk of complications. Thus, if the patient's clinical condition allows, the endovascular retrieval of the filter should be considered within a few months after implantation.

摘要

我们在此报告一例，为治疗由双下腔静脉受压引起的深静脉血栓而植入的两枚可回收下腔静脉（IVC）滤器，在放置后第67天成功取出。滤器分别置于左、右下腔静脉。双下腔静脉是一种极为罕见的解剖变异，患病率仅为0.2%。下腔静脉滤器的长期影响尚不清楚，放置滤器可能会带来并发症风险。因此，如果患者的临床情况允许，应在植入后几个月内考虑通过血管内方式取出滤器。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221a/5519468/169025a68cbb/1349-7235-56-1667-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221a/5519468/ef867b525f47/1349-7235-56-1667-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221a/5519468/adb81dc2df94/1349-7235-56-1667-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221a/5519468/2a7cff611def/1349-7235-56-1667-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221a/5519468/872e5443b8a2/1349-7235-56-1667-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221a/5519468/0172e5e8c5c3/1349-7235-56-1667-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221a/5519468/169025a68cbb/1349-7235-56-1667-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221a/5519468/ef867b525f47/1349-7235-56-1667-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221a/5519468/adb81dc2df94/1349-7235-56-1667-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221a/5519468/2a7cff611def/1349-7235-56-1667-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221a/5519468/872e5443b8a2/1349-7235-56-1667-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221a/5519468/0172e5e8c5c3/1349-7235-56-1667-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221a/5519468/169025a68cbb/1349-7235-56-1667-g006.jpg

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JAMA. 2015 Apr 28;313(16):1627-35. doi: 10.1001/jama.2015.3780.
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The hangman technique: a modified loop snare technique for the retrieval of inferior vena cava filters with embedded hooks.刽子手技术：一种改良的圈套器技术，用于取出带有嵌入钩的下腔静脉滤器。
J Vasc Interv Radiol. 2015 Jan;26(1):107-10. doi: 10.1016/j.jvir.2014.04.002.
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Multidetector computed tomography of iliac vein variation: prevalence and classification.
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Surg Radiol Anat. 2015 Apr;37(3):303-9. doi: 10.1007/s00276-014-1316-4. Epub 2014 May 30.
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Interventional treatment of venous thromboembolism: a review.介入治疗静脉血栓栓塞症：综述。
Thromb Res. 2012 Apr;129(4):418-25. doi: 10.1016/j.thromres.2011.11.003. Epub 2011 Nov 26.
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Systematic review of the use of retrievable inferior vena cava filters.可回收下腔静脉滤器使用的系统评价。
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