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下腔静脉滤器置入术预防致死性肺动脉栓塞:附三例分析 被引量:40

Insertion of Titanium Greenfield IVC Filter in the Prevention fo Life Threatening Pulmonary Embolism(A Report of 3 Cases)
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摘要 下腔静脉滤器置入术预防下肢深静脉血栓形成后血栓脱落,发生致死性肺动脉栓塞,在欧美等国已得到广泛应用。作者总结了3例下肢深静脉血栓形成后抗凝和/或溶栓治疗无效的病例。男2例,女1例。采用钛质Greenfield下腔静脉滤器,以12F直径的输送鞘管置入,滤器置下肾静脉下方的下腔静脉内。2例左髂股静脉血栓形成,经右股静脉置入,1例右侧病变,经左侧进路。随诊1 ̄12个月,观察到1例滤器向头端移位0.7cm This article reported 3 cases of deep venous thrombosis(DVT)treated with inser- tion of titanium Greenfield inferior vena caval fiIter using the femoral vein approach.The fiIter was implanted below the renal vein,Follow·up study revealed migration of stent in one case 1 month after implantation. Changes were observed in the space of fiIter base and angle between fiIter and long axis of inferior vena cava in all 3 cases. There were no serious complications.The authors suggeste that titanium Greenfield inferior vena caval filter implantation is safe,easy and effective,and should be recommended for patients with DVT complicated or threatened by pulmonary embolism.
作者 翟仁友 戴定可 Zhai Renyou; Dai Dingke; (Beijing Red Cross Chaoyang Hospital,Beijing 100020)
出处 《中华放射学杂志》 CAS CSCD 北大核心 1995年第7期 448-451,共4页 Chinese Journal of Radiology
关键词 血管成形术 下腔静脉滤器 肺动脉栓塞 预防 Angioplasty,transluminal Vena cave,infnferio filter
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