Houston Methodist Hospital, Houston, Texas, US.
Texas A&M College of Medicine, Bryan, Texas, US.
Methodist Debakey Cardiovasc J. 2024 May 16;20(3):49-56. doi: 10.14797/mdcvj.1346. eCollection 2024.
For patients with existing venous thromboembolisms (VTEs), anticoagulation remains the standard of care recommended across multiple professional organizations. However, for patients who developed a deep venous thrombosis (DVT) and/or a pulmonary embolism and cannot tolerate anticoagulation, inferior vena cava (IVC) filters must be considered among other alternative treatments. Although placement of a filter is considered a low-risk intervention, there are important factors and techniques that surgeons and interventionalists should be aware of and prepared to discuss. This overview covers the basics regarding the history of filters, indications for placement, associated risks, and techniques for difficult removal.
对于存在静脉血栓栓塞症(VTE)的患者,抗凝治疗仍然是多个专业组织推荐的标准治疗方法。然而,对于那些患有深静脉血栓形成(DVT)和/或肺栓塞且不能耐受抗凝治疗的患者,除其他替代治疗外,还必须考虑下腔静脉(IVC)滤器。尽管放置滤器被认为是一种低风险的干预措施,但外科医生和介入放射学家应该了解并准备讨论一些重要的因素和技术。本综述涵盖了有关滤器的历史、放置指征、相关风险以及困难取出技术的基础知识。