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下腔静脉滤器:无创评估

Inferior vena caval filters: noninvasive evaluation.

作者信息

Liu G C, Angtuaco T L, Ferris E J, Shah H R, Reifsteck J E, Harshfield D L

出版信息

Radiology. 1986 Aug;160(2):521-4. doi: 10.1148/radiology.160.2.3523595.

DOI:10.1148/radiology.160.2.3523595
PMID:3523595
Abstract

Transvenous inferior vena caval filters were placed in 32 patients (21 bird's nest [BN] and 11 Kimray-Greenfield [K-G] filters). Positive contrast cavography was performed before and immediately after filter placement as well as during long-term follow-up studies. In 23 patients, computed tomographic (CT) scanning was also performed; in 10 patients, real-time ultrasound (US) study was used as an adjunct. CT scans of the BN filter showed one case of hemorrhage and one case of air embolism, both of which were not recognized at cavography. CT scanning of the K-G filter demonstrated two cases of deep penetration of the prongs and one large retroperitoneal hematoma. Real-time US scanning played a major role in checking the final position of the filter and in determining its stability during repositioning of the upper prongs of one BN filter. Noninvasive examinations, including CT and US scanning, are valuable adjuncts in immediate and long-term follow-up study of patients with inferior vena caval filters.

摘要

32例患者植入了经静脉下腔静脉滤器(21枚鸟巢[BN]滤器和11枚金雷-格林菲尔德[K-G]滤器)。在滤器植入前、植入后即刻以及长期随访研究期间均进行了阳性对比剂腔静脉造影。23例患者还进行了计算机断层扫描(CT);10例患者使用实时超声(US)检查作为辅助手段。BN滤器的CT扫描显示1例出血和1例空气栓塞,这两种情况在腔静脉造影时均未被发现。K-G滤器的CT扫描显示2例滤器尖端深度穿透和1例巨大腹膜后血肿。实时超声扫描在检查1枚BN滤器上支重新定位过程中滤器的最终位置及其稳定性方面发挥了主要作用。包括CT和超声扫描在内的非侵入性检查,在对下腔静脉滤器植入患者进行即刻和长期随访研究中是有价值的辅助手段。

相似文献

1
Inferior vena caval filters: noninvasive evaluation.下腔静脉滤器:无创评估
Radiology. 1986 Aug;160(2):521-4. doi: 10.1148/radiology.160.2.3523595.
2
Vena caval occlusion after bird's nest filter placement.鸟巢式滤器置入术后腔静脉闭塞
Am J Surg. 1998 Dec;176(6):598-600. doi: 10.1016/s0002-9610(98)00285-2.
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The diameter of the inferior vena cava and its implications for the use of vena caval filters.下腔静脉直径及其对腔静脉滤器使用的影响。
Radiology. 1983 Dec;149(3):687-9. doi: 10.1148/radiology.149.3.6647844.
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CT evaluation of Kimray-Greenfield filter complications.金瑞-格林菲尔德滤器并发症的CT评估
AJR Am J Roentgenol. 1986 Jul;147(1):45-50. doi: 10.2214/ajr.147.1.45.
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Follow-up after insertion of Bird's Nest inferior vena caval filters.鸟巢式下腔静脉滤器植入后的随访
Can Assoc Radiol J. 1996 Jun;47(3):189-94.
6
Spontaneous disruption of two Greenfield vena caval filters.
Radiology. 1990 Feb;174(2):445-6. doi: 10.1148/radiology.174.2.2404317.
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Experimental comparison of percutaneous vena caval devices: titanium Greenfield filter versus bird's nest filter.经皮腔静脉装置的实验比较:钛制格林菲尔德滤器与鸟巢式滤器
J Vasc Surg. 1987 Jul;6(1):66-70. doi: 10.1067/mva.1987.avs0060066.
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Experience with the Amplatz retrievable vena cava filter.安普拉斯可回收腔静脉滤器的使用经验。
Radiology. 1989 Jul;172(1):105-10. doi: 10.1148/radiology.172.1.2662247.
9
Short-term follow-up of inferior vena caval filters: comparison of imaging techniques.下腔静脉滤器的短期随访:成像技术比较
AJR Am J Roentgenol. 1993 Oct;161(4):799-803. doi: 10.2214/ajr.161.4.8372763.
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[Long-term follow-up of vena cava filters: real-time sonography and the native x-ray image].腔静脉滤器的长期随访:实时超声检查与原始X线图像
Rofo. 1987 May;146(5):558-62. doi: 10.1055/s-2008-1048540.

引用本文的文献

1
New retrievable percutaneous vena cava filter: experimental in vitro and in vivo evaluation.
Cardiovasc Intervent Radiol. 1993 Jul-Aug;16(4):224-9. doi: 10.1007/BF02602965.