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下腔静脉重复畸形患者的双下腔静脉滤器植入术

Double inferior vena cava filter implantation in a patient with duplication of the inferior vena cava.

作者信息

Suzuki Takahito, Fujino Susumu, Aoyama Takahiko

机构信息

Department of Cardiology, Fukui Prefectural Hospital, Fukui, Japan.

出版信息

J Vasc Surg Cases Innov Tech. 2021 May 5;7(3):520-523. doi: 10.1016/j.jvscit.2021.04.010. eCollection 2021 Sep.

DOI:10.1016/j.jvscit.2021.04.010
PMID:34401616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8358276/
Abstract

An 84-year-old-woman was admitted because of syncope and dyspnea. She also required surgery for lumbar disc herniation. Computed tomography revealed bilateral massive pulmonary thromboembolism, deep vein thrombosis, and duplication of the inferior vena cava (IVC) in which the left IVC had merged with the left renal vein. Two retrievable IVC filters were deployed in both IVCs, and direct oral anticoagulant therapy was started. After orthopedic surgery for the lumbar disc herniation, the IVC filters were retrieved. No complications occurred. Different treatment strategies could be required for IVC filter implantation in a patient with duplication of the IVC.

摘要

一名84岁女性因晕厥和呼吸困难入院。她还需要接受腰椎间盘突出症手术。计算机断层扫描显示双侧大面积肺血栓栓塞、深静脉血栓形成以及下腔静脉重复畸形，其中左侧下腔静脉与左肾静脉合并。在两条下腔静脉中均置入了两个可回收的下腔静脉滤器，并开始直接口服抗凝治疗。腰椎间盘突出症骨科手术后，取出了下腔静脉滤器。未发生并发症。对于下腔静脉重复畸形的患者，下腔静脉滤器植入可能需要不同的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d4/8358276/9644797df0b1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d4/8358276/104940a4a92b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d4/8358276/62858eccb8b3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d4/8358276/9644797df0b1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d4/8358276/104940a4a92b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d4/8358276/62858eccb8b3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d4/8358276/9644797df0b1/gr3.jpg

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