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34 年后取出置入的下腔静脉 Greenfield 滤器。

Retrieval of an inferior vena cava Greenfield filter 34 years after insertion.

机构信息

Louisiana State University Health Sciences Center Shreveport School of Medicine, Shreveport, Louisiana, USA.

Louisiana State University Health Sciences Center Shreveport School of Medicine, Shreveport, Louisiana, USA

出版信息

BMJ Case Rep. 2024 Mar 21;17(3):e259053. doi: 10.1136/bcr-2023-259053.

Abstract

Inferior vena cava (IVC) filters are engineered medical devices deployed in the IVC primarily to prevent a pulmonary embolism from occurring. In this article, we present a case of an IVC filter that was successfully retrieved from a patient after being in place for 34 years. The patient presented to hospital for trauma in which subsequent imaging showed tines of an IVC filter protruding outside of the vessel with one of the tines penetrating the duodenal wall. The filter was successfully removed with no complications. This report adds to the existing literature by yielding an example of an adverse risk that can be associated with the placement of IVC filters. In addition, to the authors' best knowledge, this is the longest reported length of time that an IVC filter has stayed in a patient before being removed, thus adding another intriguing detail to the case.

摘要

下腔静脉 (IVC) 过滤器是一种工程医学设备,主要部署在 IVC 中,以防止发生肺栓塞。在本文中,我们报告了一例 IVC 过滤器的成功取出病例,该过滤器在患者体内放置了 34 年后被成功取出。该患者因外伤就诊,随后的影像学检查显示 IVC 过滤器的叉齿突出于血管外,其中一个叉齿穿透了十二指肠壁。该过滤器被成功取出,没有出现并发症。本报告通过提供一个与 IVC 过滤器放置相关的不良风险的例子,增加了现有文献的内容。此外,据作者所知,这是迄今为止报道的 IVC 过滤器在患者体内停留时间最长的一次,这为该病例增添了另一个有趣的细节。

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本文引用的文献

1
Inferior Vena Cava Filters and Complications: A Systematic Review.下腔静脉滤器与并发症:一项系统评价
Cureus. 2023 Jun 6;15(6):e40038. doi: 10.7759/cureus.40038. eCollection 2023 Jun.
2
Immediate and delayed complications of inferior vena cava filters.下腔静脉滤器的即刻和延迟并发症
J Vasc Surg Venous Lymphat Disord. 2023 May;11(3):587-594.e3. doi: 10.1016/j.jvsv.2022.08.011. Epub 2022 Oct 4.
3
Radiologists' Field Guide to Permanent Inferior Vena Cava Filters.放射科医生永久下腔静脉滤器实用指南。
AJR Am J Roentgenol. 2019 Oct;213(4):762-767. doi: 10.2214/AJR.19.21660. Epub 2019 Jul 30.
6
Retrieval of Inferior Vena Cava Filters: Technical Considerations.下腔静脉滤器取出术:技术要点
Semin Intervent Radiol. 2016 Jun;33(2):144-8. doi: 10.1055/s-0036-1582119.

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