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放射科医生永久下腔静脉滤器实用指南。

Radiologists' Field Guide to Permanent Inferior Vena Cava Filters.

机构信息

Department of Radiology, Division of Interventional Radiology, Thomas Jefferson University Hospital, 132 S 10th St, Main Bldg, Philadelphia, PA 19107.

Department of Radiology, Division of Interventional Radiology, St. Luke's University Health Network, Bethlehem, PA.

出版信息

AJR Am J Roentgenol. 2019 Oct;213(4):762-767. doi: 10.2214/AJR.19.21660. Epub 2019 Jul 30.

Abstract

Inferior vena cava (IVC) filters are commonly used in patients at risk for life-threatening pulmonary embolism. Since the Mobin-Uddin filter was introduced in 1967, numerous other IVC filters have been developed. Given the plethora of IVC filter types, inaccurate identification of a filter on radiographic examination can lead to confusion in the options for filter retrieval and anticoagulation. This article highlights permanent IVC designs to assist the interpretation of diagnostic studies. Accurate identification of indwelling IVC filters could have a dramatic effect on patient management regarding anticoagulant use and possibility for IVC filter retrieval and removal. Identification of filter type, filter position, presence or absence of thrombosis, filter tilt, and filter fracture should be included in interpretive reports.

摘要

下腔静脉(IVC)过滤器通常用于有发生危及生命的肺栓塞风险的患者。自 1967 年 Mobin-Uddin 过滤器问世以来,已经开发出许多其他类型的 IVC 过滤器。鉴于 IVC 过滤器的种类繁多,如果在放射学检查中不能准确识别过滤器,可能会导致在选择过滤器取出和抗凝时出现混淆。本文重点介绍永久性 IVC 设计,以帮助解读诊断研究。准确识别留置 IVC 过滤器可能会对患者的抗凝使用和 IVC 过滤器取出和移除的可能性产生重大影响。在解释性报告中应包括对过滤器类型、过滤器位置、是否存在血栓、过滤器倾斜和过滤器断裂的识别。

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