Huang Junjian, Bold Michael, Rajebi Mohammad Reza
Department of Radiology, Pennsylvania Hospital, Philadelphia, USA.
Department of Radiology, Mayo Clinic, Rochester, USA.
J Radiol Case Rep. 2017 Jun 30;11(6):15-25. doi: 10.3941/jrcr.v11i6.3031. eCollection 2017 Jun.
Inferior vena cava (IVC) filters were first introduced in 1967 by Kazi Mobin-Uddin and later improved by Lazar Greenfield in the 1980s becoming a major component of catastrophic pulmonary embolism prevention. Nevertheless, filters are not entirely harmless. The long term risks include caval thrombosis, visceral penetration, and filters can serve as a nidus for infection. Filter retrieval is often complicated by intimal hyperplasia especially with increased indwelling time. Historically, Greenfield filters in place for longer than 3 weeks were considered permanent due to the risks of retrieval. Herein we present 2 cases of successful retrieval of Greenfield filters 13 and 19 years post implantation.
下腔静脉(IVC)滤器于1967年由卡齐·莫宾 - 乌丁首次引入,随后在20世纪80年代由拉扎尔·格林菲尔德进行了改进,成为预防灾难性肺栓塞的主要组成部分。然而,滤器并非完全无害。长期风险包括腔静脉血栓形成、内脏穿透,并且滤器可成为感染病灶。滤器取出常常因内膜增生而变得复杂,尤其是随着留置时间的增加。从历史上看,由于取出存在风险,放置超过3周的格林菲尔德滤器被认为是永久性的。在此,我们报告2例在植入后13年和19年成功取出格林菲尔德滤器的病例。