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诊断放射科医师的下腔静脉滤器评估和管理:包括下腔静脉滤器相关并发症和 PRESERVE 试验滤器的综合综述。

Inferior Vena Cava Filter Evaluation and Management for the Diagnostic Radiologist: A Comprehensive Review Including Inferior Vena Cava Filter-Related Complications and PRESERVE Trial Filters.

机构信息

Department of Radiology, Section of Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, Illinois, USA.

Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA.

出版信息

Can Assoc Radiol J. 2019 Nov;70(4):367-382. doi: 10.1016/j.carj.2019.06.003. Epub 2019 Sep 27.

Abstract

Inferior vena cava filters are commonly encountered devices on diagnostic imaging that were highlighted in a 2010 Food and Drug Administration safety advisory regarding their complications from long-term implantation. The Predicting the Safety and Effectiveness of Inferior Vena Cava Filters (PRESERVE) trial is an ongoing after-market study investigating the safety and utility of commonly utilized filters in practice today. While most of these filters are safe, prompt recognition and management of any filter-associated complication is imperative to prevent or reduce the morbidity and mortality associated with them. This review is aimed at discussing the appropriate utilization and placement of inferior vena cava filters in addition to the recognition of filter-associated complications on cross-sectional imaging. An overview of the PRESRVE trial filters is also provided to understand each filter's propensity for specific complications.

摘要

下腔静脉滤器是诊断成像中常见的装置,在 2010 年食品和药物管理局关于其长期植入并发症的安全咨询中重点介绍了这些装置。正在进行的下腔静脉滤器预测安全性和有效性(PRESERVE)试验是一项针对目前临床常用滤器安全性和实用性的上市后研究。虽然大多数这些滤器是安全的,但及时识别和处理任何与滤器相关的并发症对于预防或减少与之相关的发病率和死亡率至关重要。这篇综述旨在讨论下腔静脉滤器的合理使用和放置,以及在横断面成像上识别滤器相关并发症。还提供了 PRESRVE 试验滤器的概述,以了解每种滤器发生特定并发症的倾向。

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