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放置两个下腔静脉滤器用于下腔静脉滤器开放失败的补救处理。

Placing two inferior vena cava filters for the bail-out management of opening failure of an inferior vena cava filter.

作者信息

Kawatani Yohei, Yoshiyama Azusa, Hori Takaki

机构信息

Department of Cardiovascular Surgery, Kamagaya General Hospital, 929-6, Hatsutomi, Kamagaya-shi 273-0121, Japan.

Department of Urology, Kamagaya General Hospital, 929-6, Hatsutomi, Kamagaya-shi 273-0121, Japan.

出版信息

J Surg Case Rep. 2024 Aug 28;2024(8):rjae538. doi: 10.1093/jscr/rjae538. eCollection 2024 Aug.

DOI:10.1093/jscr/rjae538
PMID:39211368
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11358053/
Abstract

A 93-year-old man with a femoral fracture was admitted to the emergency department. The patient presented with severe hypoxemia and shock. Enhanced computed tomography confirmed deep venous thrombosis in the left leg and pulmonary embolism. Subsequently, an inferior vena cava filter (IVCF) was implanted. Although the IVCF was completely unsheathed for deployment, it remained fully folded and did not open; it was not deployed or retrieved. A new IVCF was successfully placed in the same position. Acute treatment for the deep venous thrombosis and further pulmonary embolism was achieved.

摘要

一名93岁股骨骨折男性被送入急诊科。患者出现严重低氧血症和休克。增强计算机断层扫描证实左腿深静脉血栓形成和肺栓塞。随后，植入了下腔静脉滤器（IVCF）。尽管IVCF已完全出鞘准备展开，但它仍完全折叠且未打开；既未展开也未取出。在同一位置成功植入了一个新的IVCF。对深静脉血栓形成和进一步的肺栓塞进行了急性治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fe8/11358053/c6bbd4a3bc47/rjae538f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fe8/11358053/f04895b7b951/rjae538f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fe8/11358053/db9fb7490a32/rjae538f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fe8/11358053/ef73581a1db3/rjae538f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fe8/11358053/c6bbd4a3bc47/rjae538f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fe8/11358053/f04895b7b951/rjae538f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fe8/11358053/db9fb7490a32/rjae538f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fe8/11358053/ef73581a1db3/rjae538f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fe8/11358053/c6bbd4a3bc47/rjae538f4.jpg

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本文引用的文献

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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.
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下腔静脉缺如患者右卵巢静脉内下腔静脉滤器误置及通过圈套技术成功取出
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7
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N Engl J Med. 1998 Feb 12;338(7):409-15. doi: 10.1056/NEJM199802123380701.
8
Incomplete opening of LGM (Vena Tech) filters inserted via the transjugular approach.经颈静脉途径置入的LGM（Vena Tech）滤器开放不完全。
J Vasc Interv Radiol. 1991 Nov;2(4):441-5. doi: 10.1016/s1051-0443(91)72215-x.
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J Vasc Interv Radiol. 1991 Nov;2(4):429-33. doi: 10.1016/s1051-0443(91)72212-4.