Zeng Xueping, Zhou Jin, Zhou Qidi, Huang Zhigang
Department of Emergency, Peking University Shenzhen Hospital, Shenzhen, China.
Department of General Practice, Peking University Shenzhen Hospital, Shenzhen, China.
Front Cardiovasc Med. 2022 Jun 3;9:863732. doi: 10.3389/fcvm.2022.863732. eCollection 2022.
A 67-year-old male patient was admitted to receive surgical treatment because of lumbar spinal stenosis. Ultrasonography showed a thrombus in the middle and lower segment of the left internal jugular vein. Superior vena cava filter implantation was performed and removed on day 7 after its implantation. The patient suddenly had dyspnea, and his blood pressure decreased 9 h after filter removal. Examinations showed pericardial tamponade and hemothorax. In addition, aortic dissection occurred approximately 20 days after superior vena cava filter removal. This case aimed to provide information to clinicians about the complications of the implantation and removal of superior vena cava filter implantation. The safety and possible complications of superior vena cava filter implantation and removal should be evaluated to identify their actual clinical benefit and cost-effectiveness ratio.
一名67岁男性患者因腰椎管狭窄入院接受手术治疗。超声检查显示左颈内静脉中下段有血栓形成。遂行上腔静脉滤器植入术，并于植入后第7天取出。滤器取出9小时后，患者突然出现呼吸困难，血压下降。检查发现心包填塞和血胸。此外，上腔静脉滤器取出后约20天发生主动脉夹层。该病例旨在向临床医生提供有关上腔静脉滤器植入和取出并发症的信息。应评估上腔静脉滤器植入和取出的安全性及可能的并发症，以确定其实际临床获益和成本效益比。
