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儿童感染性深静脉血栓形成中的下腔静脉滤器

Inferior Vena Cava Filter in Childhood Septic Deep Vein Thrombosis.

作者信息

Aljabari Salim, Waheed Shahzad, Davis Ryan, Padhye Amruta

机构信息

Department of Child Health, University of Missouri, Columbia, Missouri, United States.

Department of Radiology, University of Missouri, Columbia, Missouri, United States.

出版信息

J Pediatr Intensive Care. 2021 Mar;10(1):71-74. doi: 10.1055/s-0040-1710056. Epub 2020 Apr 24.

Abstract

Inferior vena cava (IVC) filter in venous thromboembolism (VTE) is an alternative to anticoagulation when the latter is contraindicated. The use of IVC filter in pediatrics continues to be rare and has not increased despite the ever-increasing rates of childhood VTE. Historically, septic VTE was regarded as a contraindication to IVC filter. Safety and efficacy of IVC filters in septic VTE have been reported in adult patients but not in pediatric patients. In this study, we reported a safe use of IVC filter in a critically ill 12-year-old patient with a large IVC thrombus and multiple pulmonary embolisms with favorable outcome.

摘要

下腔静脉(IVC)滤器用于静脉血栓栓塞症(VTE),是在抗凝治疗禁忌时的一种替代方法。IVC滤器在儿科的使用仍然很少见,尽管儿童VTE的发病率不断上升,但使用量并未增加。历史上,感染性VTE被视为IVC滤器的禁忌证。IVC滤器在成年感染性VTE患者中的安全性和有效性已有报道,但在儿科患者中尚未见报道。在本研究中,我们报告了1例12岁危重症患者安全使用IVC滤器的情况,该患者下腔静脉有大量血栓且合并多发性肺栓塞,结果良好。

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