Poliwoda Salomon, Suthar Rekhaben, Suraci Nicholas, Garcia Pedro, Behrens Vicente, Goldman Howard
Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach Anesthesiology Associates, Inc., Miami Beach, Florida, USA.
Ann Card Anaesth. 2019 Jul-Sep;22(3):337-339. doi: 10.4103/aca.ACA_159_18.
A patient presented to our institution for an elective removal of an inferior vena cava (IVC) filter under local anesthesia. Once removed, it was noticed that the filter had a missing secondary leg. The patient had a chest CT done which showed a hyper-attenuating structure in the region of the tricuspid valve highly suspicious for the fractured strut of the filter. Upon these findings, the patient was taken once again to the surgical suite for an endovascular retrieval of the strut. For fear of a possible cardiac injury and a potential need for a sternotomy, the patient received general anesthesia and was placed with appropriate IV access and full cardiac monitors. The strut was removed successfully without any complications. Despite the relative benign nature of this endovascular procedure, one should always be prepared for an appropriate resuscitation in case of an occurrence of a surgical complication.
一名患者到我院接受局部麻醉下选择性取出下腔静脉（IVC）滤器的手术。取出滤器后，发现其一条二级支腿缺失。患者进行了胸部CT检查，结果显示三尖瓣区域有一个高密度结构，高度怀疑为滤器断裂的支柱。基于这些检查结果，患者再次被送往手术室进行支柱的血管内取出术。由于担心可能的心脏损伤以及可能需要进行胸骨切开术，患者接受了全身麻醉，并建立了适当的静脉通路和配备了完整的心脏监测设备。支柱被成功取出，没有出现任何并发症。尽管该血管内手术相对良性，但万一发生手术并发症，仍应随时做好适当复苏的准备。
