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放置13年和19年后通过血管内取出格林菲尔德下腔静脉滤器,无重大并发症。

Endovascular retrieval of Greenfield IVC filters 13 and 19 years post placement without major complication.

作者信息

Huang Junjian, Bold Michael, Rajebi Mohammad Reza

机构信息

Department of Radiology, Pennsylvania Hospital, Philadelphia, USA.

Department of Radiology, Mayo Clinic, Rochester, USA.

出版信息

J Radiol Case Rep. 2017 Jun 30;11(6):15-25. doi: 10.3941/jrcr.v11i6.3031. eCollection 2017 Jun.

Abstract

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.

摘要

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。

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本文引用的文献

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