[1]赵军,李敬府①,董国祥,等.TempofilterⅡ型下腔静脉临时滤器的临床应用[J].中国微创外科杂志,2007,07(7):607-608.
　Zhao Jun*,Li Jingfu,Dong Guoxiang*,et al.Clinical application of Tempofilter Ⅱ temporary caval filter[J].Chinese Journal of Minimally Invasive Surgery,2007,07(7):607-608.
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TempofilterⅡ型下腔静脉临时滤器的临床应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
07
期数:
2007年7期
页码:
607-608
栏目:
出版日期:
2007-07-20

文章信息/Info

Title:
Clinical application of Tempofilter Ⅱ temporary caval filter
作者:
赵军; 李敬府①; 董国祥; 栾景源; 李天润; 翟国均; 张龙韩; 金涛
北京大学第三医院血管外科，北京100083
Author(s):
Zhao Jun*;  Li Jingfu;  Dong Guoxiang*;  et al.
*Department of Vascular Surgery, Peking University Third Hospital, Beijing 100083, China
关键词:
TempofilterⅡ; 下腔静脉滤器; 深静脉血栓
Keywords:
Tempofilter Ⅱ; Caval filter; Deep venous thrombosis
分类号:
R654.3
文献标志码:
A
摘要:
目的总结TempofilterⅡ型下腔静脉临时滤器应用的临床经验。方法对2002年4月～2006年8月间的24例需要置入下腔静脉临时滤器的患者，应用彩超了解血栓范围，下腔静脉、肾静脉和入路静脉（右颈内静脉）的情况，在彩超和X线透视下(免造影剂)，应用Seldinger穿刺技术，通过导丝导管将临时滤器放在肾静脉开口远端的下腔静脉内。 结果24例均成功置入和拔除。置入时间5 d~6周，平均16.8 d。其中滤器处下腔静脉血栓形成4例，发生在3 d~2周。捕获血栓8例，血栓均<0.5 cm。 随访23例，平均23个月（7~57个月），无再次发生肺栓塞病例，1例下肢深静脉血栓复发，经抗凝治疗后好转。 结论TempofilterⅡ型下腔静脉临时滤器是安全和有效的；超声结合X线透视免去造影剂的置入操作是安全和可行的；多数可以在3周时拔除，如果滤器血栓形成应及时处理。
Abstract:
ObjectiveTo summarize the clinical application of the Tempofilter Ⅱ temporary caval filter.MethodsThe Tempofilter Ⅱ temporary caval filter was employed in 24 patients from April 2002 to August 2006. Before the implantation, we performed color ultrasonography to detect the extent of thrombus and the situation of inferior vena cava, renal vein, and access vein (right internal jugular vein). Under the guidance of color ultrasonography and Xray fluoroscopy (free of contrast agent), the temporary filter was placed in the inferior vena cava distal of the renal vein orifice through a guide wire by using the Seldinger technique.ResultsThe filter was successfully implanted and removed in all the 24 patients. The duration of placement was 5 days~6 weeks (mean, 16.8 days). Filter thrombosis occurred in 4 patients at 3 days ~ 2 weeks after operation. The thrombi (< 05 cm in diameter) were trapped by the filter in 8 patients. Twentythree patients were followed for a mean of 23 months. No recurrence of pulmonary embolism was seen. Deep venous thrombosis in lower limbs recurred in 1 patient and was relieved by anticoagulation therapy. ConclusionsThe application of the Tempofilter Ⅱ filter is safe and effective. It can be safely implanted under color ultrasonography and Xray fluoroscopy. In most patients the filter can be removed in 3 weeks. Filter thrombosis should be timely treated.

参考文献/References:

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备注/Memo

备注/Memo:
①超声科
更新日期/Last Update: 2013-12-09