Sarkar M R, Lemminger F M
Abteilung für Gefässchirurgie, Chirurgische Klinik, Städtisches Klinikum Karlsruhe.
Vasa. 1997 Nov;26(4):305-7.
Penetration of vena cava inferior filter spikes through the vessel wall is a frequent but only rarely symptomatic complication of these devices. We report a case of upper gastrointestinal haemorrhage 11 year after implantation of a Mobin-Uddin filter. At gastroduodenoscopy a filter spike protruding from the duodenal mucosa was identified as the cause of the haemorrhage. After removal of the filter the patient made an uneventful recovery. Indications for vena cava filter placement are discussed in the light of their early and late complications. Surgical intervention is strongly recommended for symptomatic perforations.
下腔静脉滤器的金属丝穿透血管壁是这些装置常见但很少有症状的并发症。我们报告1例在植入莫宾-乌丁滤器11年后发生上消化道出血的病例。在胃十二指肠镜检查中，从十二指肠黏膜突出的滤器金属丝被确定为出血原因。取出滤器后，患者顺利康复。根据腔静脉滤器的早期和晚期并发症讨论了其植入指征。对于有症状的穿孔，强烈建议进行手术干预。
