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下腔静脉滤器移位至左髂内静脉

Inferior Vena Cava Filter Migration to the Left Internal Iliac Vein.

作者信息

Chen Lei, Zhang Jian, Yang Zhi

机构信息

Vascular Surgery Department of Xuanwu Hospital of Capital Medical University, Beijing, China; Vascular Surgery Department of Chengde Medical College, Chengde, China.

Vascular Surgery Department of Xuanwu Hospital of Capital Medical University, Beijing, China.

出版信息

Ann Vasc Surg. 2020 May;65:289.e13-289.e16. doi: 10.1016/j.avsg.2019.12.012. Epub 2019 Dec 18.

Abstract

Inferior vena cava filter placement is an important method for managing deep venous thrombosis of the lower extremities and has a high risk of pulmonary embolism. Filter migration is rare but potentially fatal. We describe a case of migration of an inferior vena cava filter to the left internal iliac vein. The filter perforated the internal iliac vein, resulting in hemorrhagic shock, and was removed with open surgery. To our knowledge, this is the first reported case of migration of an inferior vena cava filter to an internal iliac vein.

摘要

下腔静脉滤器置入是治疗下肢深静脉血栓形成的重要方法,且存在较高的肺栓塞风险。滤器移位罕见但可能致命。我们描述了一例下腔静脉滤器移位至左髂内静脉的病例。该滤器穿透髂内静脉,导致失血性休克,最终通过开放手术取出。据我们所知,这是首例报道的下腔静脉滤器移位至髂内静脉的病例。

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