Department of Radiology, Division of Interventional Radiology, Northwestern University Feinberg School of Medicine, 676 N St. Clair, Ste 800, Chicago, IL 60611.
Department of Radiology, Division of Interventional Radiology, University of Colorado School of Medicine, Aurora, CO.
AJR Am J Roentgenol. 2020 Oct;215(4):790-794. doi: 10.2214/AJR.19.22387. Epub 2020 Aug 5.
Utilization of retrievable inferior vena cava filters (rIVCFs) has come under increased scrutiny because of historically high rates of placement, generalized lack of retrieval when the inferior vena cava filter (IVCF) is no longer indicated, and reports of device-related complications. These events have led to an increased interest in IVCF retrieval, including the development of advanced endovascular retrieval techniques and the proliferation of specialized clinical practices for rIVCFs. We aim to describe the indications for IVCF retrieval, patient selection, procedural planning, and procedural complications and management. IVCFs continue to have a role in the prevention of pulmonary embolism in select patients. Rising awareness of device-related complications paired with historically low retrieval rates has prompted renewed emphasis and interest in filter retrieval. Diligent follow-up and procedural planning permit prompt and safe filter retrieval.
由于可回收下腔静脉滤器（rIVCF）的放置率一直居高不下，并且在不再需要下腔静脉滤器（IVCF）时普遍未能进行回收，以及设备相关并发症的报告，因此人们对 IVCF 的回收越来越关注，包括先进的血管内回收技术的发展和专门的 rIVCF 临床实践的增多。我们旨在描述 IVCF 回收的适应证、患者选择、手术规划以及手术并发症的处理。IVCF 在某些特定患者中仍然具有预防肺栓塞的作用。由于设备相关并发症的意识不断提高，加上历史上较低的回收率，促使人们重新关注滤器的回收。通过仔细的随访和手术规划，可以实现快速、安全的滤器回收。
