下腔静脉滤器断裂支移位至心脏右心室。
Migration of a fractured inferior vena cava filter strut to the right ventricle of the heart.
作者信息
Sako Zeyad, Avula Sindhu Reddy, Gaies Elissa, Daniel Rebecca
机构信息
Department of Internal Medicine, Saint Joseph Mercy Ann Arbor Hospital, Ypsilanti, Michigan, USA.
出版信息
BMJ Case Rep. 2018 Mar 21;2018:bcr-2017-222054. doi: 10.1136/bcr-2017-222054.
Abstract
Inferior vena cava (IVC) filters are increasingly used in patients with recurrent venous thromboembolism in whom anticoagulation is contraindicated or intolerable. Migration of fragments is a known complication of IVC filter use. We present a case of a 32-year-old man, who presented with right-sided chest pain believed to be caused by a migrated IVC fragment to the right ventricle. The filter was removed by an endovascular cook forceps with the assistance of intracardiac echocardiography. This case serves as an addition to the existing reports of successful removal of intracardiac fragments via minimally invasive endovascular approach, amid a larger number of intracardiac fragments that have been removed by an open-heart approach.
摘要
下腔静脉（IVC）滤器越来越多地用于抗凝治疗禁忌或无法耐受的复发性静脉血栓栓塞患者。滤器碎片迁移是IVC滤器使用的一种已知并发症。我们报告一例32岁男性患者，其因IVC碎片迁移至右心室而出现右侧胸痛。在心脏内超声心动图的辅助下，通过血管内库克钳取出了滤器。在大量通过心脏直视手术取出的心脏内碎片中，该病例补充了现有通过微创血管内方法成功取出心脏内碎片的报告。
相似文献
1
Migration of a fractured inferior vena cava filter strut to the right ventricle of the heart.下腔静脉滤器断裂支移位至心脏右心室。
BMJ Case Rep. 2018 Mar 21;2018:bcr-2017-222054. doi: 10.1136/bcr-2017-222054.
2
Inferior vena cava filter migration to the right ventricle.下腔静脉滤器迁移至右心室。
J Card Surg. 2011 Mar;26(2):170-2. doi: 10.1111/j.1540-8191.2010.01194.x. Epub 2011 Feb 8.
3
Endovascular Retrieval of a Migrated TrapEase Inferior Vena Cava Filter From the Right Atrium: A Brief Report and Literature Review.经血管内从右心房取出移位的TrapEase下腔静脉滤器：简要报告及文献综述
Vasc Endovascular Surg. 2018 May;52(4):291-294. doi: 10.1177/1538574418760104. Epub 2018 Feb 20.
4
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.
5
Surgical Management of Perforated Inferior Vena Cava Filters.穿孔性下腔静脉滤器的手术治疗
Ann Vasc Surg. 2017 Jul;42:25-31. doi: 10.1016/j.avsg.2016.11.005. Epub 2017 Mar 7.
6
Inferior Vena Cava Filter Migrated to Left Ventricle.下腔静脉滤器迁移至左心室。
Heart Surg Forum. 2021 Jun 25;24(3):E587-E588. doi: 10.1532/hsf.3853.
7
Cardiac Perforation by Migrated Fractured Strut of Inferior Vena Cava Filter Mimicking Acute Coronary Syndrome.下腔静脉滤器移位断裂支柱致心脏穿孔，酷似急性冠状动脉综合征
Heart Lung Circ. 2017 Feb;26(2):e11-e13. doi: 10.1016/j.hlc.2016.07.017. Epub 2016 Sep 5.
8
Percutaneous Endovascular Retrieval of a Migrated Permanent VenaTech LP Inferior Vena Cava Filter from the Right Ventricle.
J Vasc Interv Radiol. 2017 Sep;28(9):1304-1306. doi: 10.1016/j.jvir.2017.03.036.
9
Right ventricular migration and endovascular removal of an inferior vena cava filter.
J Vasc Interv Radiol. 2008 Jan;19(1):141-4. doi: 10.1016/j.jvir.2007.09.014.
10
Fractured inferior vena cava filter strut presenting with ST-segment elevation and cardiac tamponade.下腔静脉滤器支杆断裂，表现为ST段抬高和心脏压塞。
Tex Heart Inst J. 2015 Apr 1;42(2):181-3. doi: 10.14503/THIJ-13-4007. eCollection 2015 Apr.
引用本文的文献
1
Intracardiopulmonary migration of inferior vena cava filters: An updated systematic review.下腔静脉滤器的心肺内移位：一项最新的系统评价。
J Vasc Surg Venous Lymphat Disord. 2025 Mar;13(2):102009. doi: 10.1016/j.jvsv.2024.102009. Epub 2024 Nov 28.
2
Inferior vena cava filter misplacement with SVC perforation.下腔静脉滤器移位并伴有上腔静脉穿孔。
J Interv Med. 2023 Jul 4;6(3):140-142. doi: 10.1016/j.jimed.2023.06.001. eCollection 2023 Aug.
3
A Pericardial Pin: Embolization of an Inferior Vena Cava Filter Strut Presenting as Acute Pericarditis.一枚心包内的针：下腔静脉滤器支柱栓塞表现为急性心包炎
JACC Case Rep. 2021 Feb 17;3(2):304-308. doi: 10.1016/j.jaccas.2020.12.014. eCollection 2021 Feb.
4
Migrated Inferior Vena Cava (IVC) Filter Strut: A Rare Cause of Chronic Distal Pancreatitis with Likely Malignant Transformation.移植物内下腔静脉（IVC）滤器支柱：慢性远端胰腺炎的罕见病因，可能发生恶性转化。
Am J Case Rep. 2021 Mar 12;22:e929599. doi: 10.12659/AJCR.929599.
本文引用的文献
1
Transcatheter Retrieval of Fractured Inferior Vena Cava Filter Strut Penetrating the Interventricular Septum under Intracardiac Echocardiography and Fluoroscopy.心腔内超声心动图和荧光透视引导下经导管取出穿透室间隔的下腔静脉滤器断裂支杆
J Vasc Interv Radiol. 2016 Nov;27(11):1727-1730. doi: 10.1016/j.jvir.2016.09.008.
2
Cardiac Perforation by Migrated Fractured Strut of Inferior Vena Cava Filter Mimicking Acute Coronary Syndrome.下腔静脉滤器移位断裂支柱致心脏穿孔，酷似急性冠状动脉综合征
Heart Lung Circ. 2017 Feb;26(2):e11-e13. doi: 10.1016/j.hlc.2016.07.017. Epub 2016 Sep 5.
3
Retrieval of Inferior Vena Cava Filters With Prolonged Dwell Time: A Single-Center Experience in 648 Retrieval Procedures.长时间留置的下腔静脉滤器取出术：648例取出手术的单中心经验
JAMA Intern Med. 2015 Sep;175(9):1572-4. doi: 10.1001/jamainternmed.2015.2561.
4
Wire in the heart: fracture and fragment embolization of retrievable inferior vena cava filter into the right ventricle.心脏内的导线：可回收下腔静脉滤器断裂并碎片栓塞至右心室。
Case Rep Cardiol. 2015;2015:938184. doi: 10.1155/2015/938184. Epub 2015 Apr 21.
5
Case report: It wasn't cupid: multimodality imaging of inferior vena cava filter fracture with strut migration to the interventricular septum.病例报告：并非丘比特之箭所为：下腔静脉滤器断裂伴支脚移位至室间隔的多模态成像
Methodist Debakey Cardiovasc J. 2014 Jul-Sep;10(3):198-200. doi: 10.14797/mdcj-10-3-198.
6
Migration of a fractured inferior vena cava filter strut to the right ventricle of the heart: a case report.下腔静脉滤器断裂支移位至心脏右心室：一例报告
J Cardiothorac Surg. 2014 Dec 14;9:183. doi: 10.1186/s13019-014-0183-8.
7
Prevalence and clinical consequences of fracture and fragment migration of the Bard G2 filter: imaging and clinical follow-up in 684 implantations.巴德G2滤器骨折及碎片移位的发生率和临床后果：684例植入的影像学及临床随访
J Vasc Interv Radiol. 2014 Jun;25(6):941-8. doi: 10.1016/j.jvir.2014.01.035. Epub 2014 Mar 18.
8
Fracture and migration of Celect inferior vena cava filters: a retrospective review of 741 consecutive implantations.Celect下腔静脉滤器的骨折与移位：741例连续植入术的回顾性研究
J Vasc Interv Radiol. 2013 Nov;24(11):1719-22. doi: 10.1016/j.jvir.2013.07.019. Epub 2013 Sep 10.
9
Endovascular foreign body retrieval.血管内异物取出术。
J Vasc Surg. 2013 Feb;57(2):459-63. doi: 10.1016/j.jvs.2012.01.092. Epub 2012 Oct 13.
10
Antithrombotic therapy for VTE disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines.静脉血栓栓塞症的抗血栓治疗：《抗血栓治疗与血栓预防，第 9 版》：美国胸科医师学会循证临床实践指南。
Chest. 2012 Feb;141(2 Suppl):e419S-e496S. doi: 10.1378/chest.11-2301.
Zotero 插件