Kim Kyung Yun, Byun Seung Jae, So Byung Jun
Division of Vascular Surgery, Department of Surgery, Wonkwang University Hospital, Iksan, Korea.
Vasc Specialist Int. 2019 Mar;35(1):48-51. doi: 10.5758/vsi.2019.35.1.48.
The use of retrievable inferior vena cava (IVC) filters has markedly increased in the recent years. However, the failure rate for the retrieval of the IVC filters using the endovascular method is reported to be up to 19%. Open surgical removal of the IVC filters is technically challenging and may require longitudinal cavotomy, clamping, and repair of the IVC. Here, we present a case of successful open surgical removal of the IVC filter using minimal cavotomy. This technique is an effective method after a failed endovascular removal attempt.
近年来，可回收下腔静脉（IVC）滤器的使用显著增加。然而，据报道，采用血管内方法取出IVC滤器的失败率高达19%。通过开放手术取出IVC滤器在技术上具有挑战性，可能需要进行下腔静脉纵行切开、钳夹以及下腔静脉修复。在此，我们报告一例通过最小限度的下腔静脉切开成功进行开放手术取出IVC滤器的病例。该技术是血管内取出尝试失败后的一种有效方法。
