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德纳利下腔静脉滤器取出术:并发症与成功率

Denali Inferior Vena Cava Filter Retrieval: Complications and Success Rates.

作者信息

Choi Seoyun, Kim Kun Yung, Hwang Hong Pil, Han Young Min

出版信息

J Korean Soc Radiol. 2023 Jul;84(4):879-888. doi: 10.3348/jksr.2022.0106. Epub 2023 Jul 24.

Abstract

PURPOSE

The present study was to evaluate the outcomes of Denali filter retrieval.

MATERIALS AND METHODS

We retrospectively reviewed 143 patients who received Denali filter insertion from September 2015 to April 2020. Ninety-seven patients who required removal of the filters were include in this study. Filters were retrieved with either standard or advanced techniques. Venography before and after retrieval was obtained to evaluate technical success, complications and duration of filter insertion.

RESULTS

All 97 filters were retrieved successfully without complications. Ninety-two (94.8%) were retrieved with standard technique and 5 filters (5.2%) required the advanced technique. There were two cases with a filter angle greater than 15 degrees. Inferior vena cava penetration was shown in 17 patients (17.5%) on venography but was not associated with contrast media extravasation after filter removal.

CONCLUSION

The Denali filter showed a high rate of successful retrieval without complications. This study adds value to previous studies and trials showing that the Denali filter is a reliable and safe filter that can potentially improve retrieval rates, with increasing use of this device.

摘要

目的

本研究旨在评估Denali滤器取出的结果。

材料与方法

我们回顾性分析了2015年9月至2020年4月期间接受Denali滤器植入的143例患者。本研究纳入了97例需要取出滤器的患者。采用标准或先进技术取出滤器。取出前后均进行静脉造影,以评估技术成功率、并发症及滤器植入时间。

结果

所有97枚滤器均成功取出,无并发症发生。92枚(94.8%)通过标准技术取出,5枚(5.2%)需要先进技术。有2例滤器角度大于15度。静脉造影显示17例患者(17.5%)存在下腔静脉穿透,但与滤器取出后造影剂外渗无关。

结论

Denali滤器显示出高取出成功率且无并发症。本研究为先前的研究和试验增添了价值,表明Denali滤器是一种可靠且安全的滤器,随着该装置使用的增加,有可能提高取出率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbe2/10407073/d795c02ce22d/jksr-84-879-g001.jpg

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Clin Imaging. 2018 Nov-Dec;52:337-342. doi: 10.1016/j.clinimag.2018.09.008. Epub 2018 Sep 19.
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