Rose B S, Simon D C, Hess M L, Van Aman M E
Department of Radiology, Ohio State University Hospitals, Columbus 43210.
Radiology. 1987 Nov;165(2):373-6. doi: 10.1148/radiology.165.2.3659359.
In 109 patients in whom inferior vena caval interruption was indicated to prevent pulmonary embolism, Kimray-Greenfield (K-G) filters were inserted from a percutaneous transfemoral approach, 94 from the right common femoral vein and 15 from the left common femoral vein. All attempts at transfemoral filter insertion were successful except in two patients in whom a left common femoral approach was used. No complications occurred during insertion. In four patients, clinical evidence of femoral vein thrombosis ensued within 48 hours of filter insertion. There were no complications related to filter migration, and in 97% of patients the alignment was satisfactory. The percutaneous transfemoral route is a rapid and effective method for inserting K-G filters. The most frequent postinsertion complication was femoral vein thrombosis (ten patients), but only two patients suffered permanent sequelae.
在109例因预防肺栓塞而需行下腔静脉中断术的患者中，经皮股静脉途径植入金瑞-格林菲尔德（K-G）滤器，94例经右股总静脉植入，15例经左股总静脉植入。除2例采用左股总静脉途径的患者外，所有经股静脉滤器植入尝试均成功。植入过程中未发生并发症。4例患者在滤器植入后48小时内出现股静脉血栓形成的临床证据。未发生与滤器移位相关的并发症，97%的患者滤器位置满意。经皮股静脉途径是植入K-G滤器的一种快速有效的方法。最常见的植入后并发症是股静脉血栓形成（10例患者），但只有2例患者出现永久性后遗症。
