Brahmandam Anand, Grubman Scott, Salem Ronald, Davis Kimberly A, Tonnessen Britt H, Guzman Raul J, Ochoa Chaar Cassius Iyad
Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale University School of Medicine, New Haven, CT.
Yale University School of Medicine, New Haven, CT.
J Vasc Surg Cases Innov Tech. 2022 Aug 18;8(4):610-615. doi: 10.1016/j.jvscit.2022.08.002. eCollection 2022 Dec.
Temporary interruption of the inferior vena cava is the recommended treatment to prevent pulmonary embolism in patients with venous thromboembolism (VTE) and active contraindications for therapeutic anticoagulation. In patients with mega cava (diameter >30 mm), temporary inferior vena cava filters are contraindicated. In the present report, we have described the successful placement and retrieval of bilateral iliac vein filters in two patients with VTE, mega cava, and active contraindications for therapeutic anticoagulation. At the last follow-up, both patients had recovered without recurrent VTE and had had all filters successfully retrieved without complications.
对于静脉血栓栓塞症（VTE）且存在治疗性抗凝绝对禁忌证的患者，推荐采用下腔静脉临时阻断术预防肺栓塞。对于下腔静脉直径大于30mm的巨腔患者，禁忌使用临时下腔静脉滤器。在本报告中，我们描述了两例VTE、巨腔且存在治疗性抗凝绝对禁忌证的患者成功置入并取出双侧髂静脉滤器的情况。在最后一次随访时，两名患者均康复，无VTE复发，所有滤器均成功取出，无并发症发生。
