Maués José Júlio Bechir, Britto Karen Falcão, Rocha Sara Oliveira
Hospital Porto Dias, Belém, PA, Brasil.
J Vasc Bras. 2025 Mar 14;24:e20230138. doi: 10.1590/1677-5449.202301382. eCollection 2025.
Vena cava filters are used to treat deep vein thrombosis and pulmonary embolism. Despite the extensive literature on these filters, there is still no reliable evidence that they improve clinical results or mortality in patients with deep vein thrombosis. There are also increasing reports of complications from indiscriminate use, with a complication rate of approximately 19%. Complications include penetration into the vein wall, involvement of adjacent organs, fracture, embolization of filter fragments, and deep vein thrombosis. We describe the successful removal of a vena cava filter 4 years after implantation for inferior vena cava thrombosis. The procedure was performed using common endovascular surgery devices.
腔静脉滤器用于治疗深静脉血栓形成和肺栓塞。尽管有大量关于这些滤器的文献，但仍没有可靠证据表明它们能改善深静脉血栓形成患者的临床结局或降低死亡率。关于滥用滤器导致并发症的报道也日益增多，并发症发生率约为19%。并发症包括穿透静脉壁、累及相邻器官、骨折、滤器碎片栓塞以及深静脉血栓形成。我们描述了一例在植入腔静脉滤器4年后成功取出该滤器的病例，该滤器最初用于治疗下腔静脉血栓形成。手术使用了常见的血管内手术器械。
