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钛制格林菲尔德腔静脉滤器的支杆互锁及其对血栓捕获的影响:一项体外研究。

Strut interlocking of titanium Greenfield vena cava filters and its effect on clot capturing: an in vitro study.

作者信息

Korbin C D, Van Allan R J, Andrews R T, Katz M D, Teitelbaum G P

机构信息

Department of Radiology, Harbor-UCLA Medical Center, Torrance 90509-2910.

出版信息

Cardiovasc Intervent Radiol. 1994 Jul-Aug;17(4):204-6. doi: 10.1007/BF00571535.

DOI:10.1007/BF00571535
PMID:7954574
Abstract

PURPOSE

To determine the influence of filter leg-interlocking on filtering efficiency of titanium Greenfield inferior vena cava filters in an in vitro model.

METHODS

Titanium Greenfield filters (TGF) were placed in an inferior vena cava (IVC) flow phantom with no interlocking legs, or with one or two pairs of legs interlocked. Clot emboli of varying sizes were introduced into the stream of flow, and the frequency of successful captures by the deformed filters was recorded.

RESULTS

Interlocking filter legs diminished the filtering efficiency of the TGF by up to 80% with the flow phantom in a horizontal position; no such compromise existed when the phantom was in a vertical position.

CONCLUSION

When leg interlocking is verified radiographically, the filtering efficiency of the TGF is reduced, and placement of a second IVC filter may be indicated.

摘要

目的

在体外模型中确定滤器腿互锁对钛制格林菲尔德下腔静脉滤器过滤效率的影响。

方法

将钛制格林菲尔德滤器(TGF)置于下腔静脉(IVC)血流模型中,滤器腿不互锁,或一对或两对滤器腿互锁。将不同大小的血凝块栓子引入血流中,并记录变形滤器成功捕获的频率。

结果

当血流模型处于水平位置时,滤器腿互锁使TGF的过滤效率降低多达80%;当模型处于垂直位置时,则不存在这种影响。

结论

当通过影像学检查证实滤器腿互锁时,TGF的过滤效率会降低,可能需要放置第二个IVC滤器。

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本文引用的文献

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Percutaneous insertion of the Kimray-Greenfield filter: incidence of femoral vein thrombosis.金雷-格林菲尔德滤器的经皮插入术:股静脉血栓形成的发生率
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CT evaluation of Kimray-Greenfield filter complications.金瑞-格林菲尔德滤器并发症的CT评估
AJR Am J Roentgenol. 1986 Jul;147(1):45-50. doi: 10.2214/ajr.147.1.45.
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Inferior vena cava filters: in vitro comparison of clot trapping and flow dynamics.
Radiology. 1988 Feb;166(2):361-6. doi: 10.1148/radiology.166.2.3336712.
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Radiology. 1989 Oct;173(1):155-7. doi: 10.1148/radiology.173.1.2675181.
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Percutaneous inferior vena caval filters.经皮置入下腔静脉滤器
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Evolution of hook design for fixation of the titanium Greenfield filter.用于固定钛制格林菲尔德滤器的钩设计的演变
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Splaying of titanium Greenfield inferior vena caval filter.钛制格林菲尔德下腔静脉滤器展开
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Results of a multicenter study of the modified hook-titanium Greenfield filter.改良钩型钛制格林菲尔德滤器的多中心研究结果。
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