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[使用格林菲尔德钛制经皮滤器部分阻断下腔静脉。当前适应证与评估]

[Partial interruption of the inferior vena cava using a Greenfield titanium percutaneous filter. Present indications and evaluation].

作者信息

Bosson J L, Fontaine M, Franco G, Riachi M, Magne J L, Carpentier P H, Franco A

机构信息

Service de Médecine Interne, CHU de Grenoble.

出版信息

J Mal Vasc. 1995;20(2):122-6.

PMID:7650438
Abstract

We report a prospective study of 39 patients who presented thromboembolic disease (TED) treated by partial interruption of inferior vena cava (PIIVC) with Greenfield Titanium filter. We observed 2 recurrent pulmonary embolisms, 1 symptomatic deep venous thrombosis and 2 asymptomatic filter thrombosis. With 1 year follow up, the survival probability is of 85%. Concerning the 12 last years evolution in our hospital, we note that the approach of TED diagnosis and treatment by a central, specialised team within the hospital care structure has lead to a reduction in the number of severe cases of TED, and consequently of PIIVC. So the use of percutaneous filters has not lead to an increase in the real rate of PIIVC performed but to a decrease (21% of patients with TED in 1982 vs 8% in 1993).

摘要

我们报告了一项对39例血栓栓塞性疾病(TED)患者进行的前瞻性研究,这些患者接受了使用格林菲尔德钛制滤器的下腔静脉部分中断术(PIIVC)治疗。我们观察到2例复发性肺栓塞、1例症状性深静脉血栓形成和2例无症状滤器血栓形成。经过1年的随访,生存概率为85%。关于我们医院过去12年的发展情况,我们注意到在医院护理结构内由一个中央专业团队对TED进行诊断和治疗的方法已导致TED严重病例数量减少,从而PIIVC的数量也减少。因此,经皮滤器的使用并未导致PIIVC实际施行率增加,反而使其降低(1982年TED患者中有21%,1993年为8%)。

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