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在基于临时导管的滤器保护下进行导管定向血栓切除术治疗肾静脉血栓形成及抗凝禁忌证

Catheter Directed Thrombectomy Under Temporary Catheter Based Filter Protection in Renal Vein Thrombosis and Contraindication to Anticoagulation.

作者信息

Haine Axel, Rosenov Alexander, Mertineit Nando, Baumgartner Iris, Schindewolf Marc

机构信息

Division of Angiology, Swiss Cardiovascular Centre, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

出版信息

EJVES Vasc Forum. 2020 Sep 19;49:16-19. doi: 10.1016/j.ejvsvf.2020.09.001. eCollection 2020.

DOI:10.1016/j.ejvsvf.2020.09.001
PMID:33089223
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7560707/
Abstract

INTRODUCTION

A 55 year old man who suffered from recurrent traumatic multi-organ bleeding presented with deterioration in kidney function and pulmonary embolism caused by a newly diagnosed renal vein thrombosis during hospitalisation.

REPORT

Complete clot removal was performed successfully by catheter directed aspiration. Thrombotic emboli were captured in a temporary filter device. A post-interventional computed tomography scan showed full restoration of the occluded renal vein.

DISCUSSION

Use of a temporary catheter based vena cava filter (Capturex) during catheter directed thrombectomy is safe and should be considered to prevent thrombo-embolism in selected cases when any rheolytic therapy is contraindicated.

摘要

引言

一名55岁男性，患有复发性创伤性多器官出血，住院期间因新诊断的肾静脉血栓形成导致肾功能恶化和肺栓塞。

报告

通过导管定向抽吸成功完成了完全血栓清除。血栓性栓子被捕获在临时滤器装置中。介入后计算机断层扫描显示闭塞的肾静脉完全恢复。

讨论

在导管定向血栓切除术期间使用基于临时导管的腔静脉滤器（Capturex）是安全的，当任何溶栓治疗禁忌时，在选定的病例中应考虑使用以预防血栓栓塞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/7560707/6a27bd3dd4b3/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/7560707/0d7faee162cf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/7560707/9c68b0919def/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/7560707/d81445a7d5ec/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/7560707/6a27bd3dd4b3/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/7560707/0d7faee162cf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/7560707/9c68b0919def/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/7560707/d81445a7d5ec/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/7560707/6a27bd3dd4b3/gr4.jpg

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J Surg Res. 2019 Dec;244:540-546. doi: 10.1016/j.jss.2019.06.083. Epub 2019 Jul 24.
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J Vasc Surg Venous Lymphat Disord. 2018 Nov;6(6):788-800. doi: 10.1016/j.jvsv.2018.08.002.
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Acute Renal Vein Thrombosis: A Case Report of Successful Treatment with Mechanical Thromboaspiration.
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Ann Vasc Surg. 2018 Aug;51:329.e5-329.e8. doi: 10.1016/j.avsg.2018.03.009. Epub 2018 May 17.
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Zhonghua Yi Xue Za Zhi. 2015 Jul 7;95(25):1997-9.
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