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下腔静脉滤器导致的感染性主动脉假性动脉瘤

Infected aortic pseudoaneurysm caused by an inferior vena cava filter.

作者信息

Fukasawa Hiroaki, Kameyama Akiko, Tsukada Megumi, Imamura Hiroshi

机构信息

Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Matsumoto Japan.

出版信息

Acute Med Surg. 2022 Aug 8;9(1):e767. doi: 10.1002/ams2.767. eCollection 2022 Jan-Dec.

DOI:10.1002/ams2.767
PMID:35959097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9360758/
Abstract

BACKGROUND

Inferior vena cava filters are widely used to prevent pulmonary embolism, but they can cause serious complications.

CASE PRESENTATION

A 45-year-old man with multiple abscesses was transferred to the emergency department from another hospital. Computed tomography revealed bilateral subscapular abscesses, septic pulmonary embolism, and an abdominal aortic pseudoaneurysm with an abscess at the site of the inferior vena cava filter limb inserted 12 years before. After admission to our hospital, surgical drainage of the bilateral subscapular and right wrist joint abscesses was performed; subsequent treatment with ampicillin improved the patient's condition. Inflammation resolved on the 19th hospitalization day, and abdominal aortic replacement surgery was performed. The patient's postoperative course was uneventful. He returned to the previous hospital for rehabilitation after 40 days of hospitalization.

CONCLUSION

Inferior vena cava filters could cause serious complications.

摘要

背景

下腔静脉滤器被广泛用于预防肺栓塞，但它们可能会引起严重并发症。

病例介绍

一名患有多处脓肿的45岁男性从另一家医院转入急诊科。计算机断层扫描显示双侧肩胛下脓肿、感染性肺栓塞以及一个腹主动脉假性动脉瘤，在12年前插入下腔静脉滤器肢体的部位有一个脓肿。入院后，对双侧肩胛下和右手腕关节脓肿进行了手术引流；随后使用氨苄青霉素治疗改善了患者的病情。炎症在住院第19天时消退，并进行了腹主动脉置换手术。患者术后恢复顺利。住院40天后，他返回之前的医院进行康复治疗。

结论

下腔静脉滤器可能会引起严重并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce1/9360758/e52729e7b129/AMS2-9-e767-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce1/9360758/20ee2b46b1f0/AMS2-9-e767-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce1/9360758/f2644cd7f1e4/AMS2-9-e767-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce1/9360758/e52729e7b129/AMS2-9-e767-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce1/9360758/20ee2b46b1f0/AMS2-9-e767-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce1/9360758/f2644cd7f1e4/AMS2-9-e767-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce1/9360758/e52729e7b129/AMS2-9-e767-g003.jpg

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本文引用的文献

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World J Clin Cases. 2021 Oct 26;9(30):9211-9217. doi: 10.12998/wjcc.v9.i30.9211.
2
Infrarenal Abdominal Aortic Pseudoaneurysm: Is It a Real Emergency?肾下腹主动脉假性动脉瘤：这是真正的急症吗？
Ann Vasc Dis. 2017 Dec 25;10(4):423-425. doi: 10.3400/avd.cr.17-00048.
3
Complications of indwelling retrievable versus permanent inferior vena cava filters.
可取出式与永久性下腔静脉滤器的并发症
J Vasc Surg Venous Lymphat Disord. 2014 Apr;2(2):166-73. doi: 10.1016/j.jvsv.2013.10.050. Epub 2014 Jan 16.
4
Caval Penetration by Inferior Vena Cava Filters: A Systematic Literature Review of Clinical Significance and Management.下腔静脉滤器致腔静脉穿透：临床意义与处理的系统文献回顾。
Circulation. 2015 Sep 8;132(10):944-52. doi: 10.1161/CIRCULATIONAHA.115.016468. Epub 2015 Jul 13.
5
Penetration of an inferior vena cava filter into the aorta.下腔静脉滤器穿透至主动脉。
Ann Vasc Dis. 2014;7(4):413-6. doi: 10.3400/avd.cr.14-00066. Epub 2014 Dec 25.
6
Penetration of Celect inferior vena cava filters: retrospective review of CT scans in 265 patients.Celect 下腔静脉滤器的穿透：265 例患者 CT 扫描的回顾性研究。
AJR Am J Roentgenol. 2014 Mar;202(3):643-7. doi: 10.2214/AJR.13.11097.
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Endovascular treatment of an abdominal aortic pseudoaneurysm as a late complication of inferior vena cava filter placement.腹主动脉假性动脉瘤作为下腔静脉滤器置入的晚期并发症的血管内治疗。
J Vasc Surg. 2006 Jun;43(6):1278-82. doi: 10.1016/j.jvs.2006.02.025.