[1]焦强 李学锋＊ 武欣 王清霖 沙斐 曹娟 柴政①.一次性活检钳联合可调弯鞘回收腔静脉滤器的初步经验[J].中国微创外科杂志,2018,18(11):1015-1017.
　Jiao Qiang,Li Xuefeng,Wu Xin,et al.Preliminary Experience of Disposable Biopsy Forceps Combined With Catheters With Adjustable Curved Sheaths to Recover Vena Cava Filters[J].Chinese Journal of Minimally Invasive Surgery,2018,18(11):1015-1017.
点击复制

一次性活检钳联合可调弯鞘回收腔静脉滤器的初步经验()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年11期
页码:
1015-1017
栏目:
临床研究
出版日期:
2018-11-20

文章信息/Info

Title:
Preliminary Experience of Disposable Biopsy Forceps Combined With Catheters With Adjustable Curved Sheaths to Recover Vena Cava Filters
作者:
焦强 李学锋＊ 武欣 王清霖 沙斐 曹娟 柴政①
（中国中医科学院望京医院血管外科，北京100102）
Author(s):
Jiao Qiang;  Li Xuefeng;  Wu Xin;  et al.
Department of Vascular Surgery, Wang Jing Hospital of CACMS, Beijing 100102, China
关键词:
可调弯鞘; 腔静脉滤器; 滤器回收; 深静脉血栓; 一次性活组织取样钳
Keywords:
Adjustable curved sheath; Inferior vena cava filter; Filter recovery; Deep vein thrombosis; Disposable biopsy forceps
文献标志码:
A
摘要:
目的探讨一种腔静脉滤器回收方法的可行性及初步经验。方法2015年1月~2017年10月，对39例下肢深静脉血栓形成置入可回收腔静脉滤器者，采用一次性活检钳联合可调弯鞘进行腔静脉滤器的回收。结果39例均成功回收滤器。射线曝光下回收滤器的操作时间为1分08秒～12分57秒，平均5分58秒，回收滤器均结构完整，无折损断裂，术中术后无死亡及血管损伤、出血、肺动脉栓塞等并发症。随访6~28个月，平均12个月，无相关并发症发生。结论采用一次性活检钳联合可调弯鞘回收腔静脉滤器安全，可行。
Abstract:
ObjectiveTo investigate the feasibility of a new method for recovering inferior vena cava (IVC) filters.MethodsFrom January 2015 to October 2017, the combination of disposable biopsy forceps and adjustable curved sheaths was used to recover IVC filters in 39 patients implanted with recoverable IVC filters for lowerextremity deep venous thrombosis (DVT).ResultsThe filters were successfully recovered in all the 39 patients. The operation time of filter recovery under radiographic exposure was from 1 minute 8 seconds to 12 minutes 57 seconds (mean, 5 minutes 58 seconds). The recovered filters remained intact without fractures. No intra or postoperative deaths or complications such as vascular injuries, bleeding or pulmonary artery embolism occurred. No relevant complications were observed during followups for 6-28 months (mean, 12 months).ConclusionThe combination of disposable biopsy forceps and catheters with adjustable curved sheaths for recovering IVC filters is safe and feasible.

参考文献/References:

[1]Ha CP,Rectenwald JE.Inferior vena cava filters:current indications,techniques,and recommendations.Surg Clin North Am,2018,98(2):293-319.
[2]中华医学会放射学分会介入学组.下腔静脉滤器置入术和取出术规范的专家共识.介入放射学杂志,2011,20(5):505-509.
[3]赵郡.可回收腔静脉滤器回收的几个相关问题.中国血管外科杂志（电子版），2013,5（1）：17-26.
[4]Moriarty JM,Steinberger JD,Bansal AK,et al.Inferior vena cava filters: when to place and when to remove.Semin Respir Crit Care Med,2017,38(1):84-93.
[5]Tao MJ,Montbriand JM,Eisenberg N,et al.Temporary inferior vena cava filter indications, retrieval rates, and followup management at a multicenter tertiary care institution.J Vasc Surg,2016,64（2）:430-437.
[6]Tashbayev A,Belenky A,Litvin S,et al.Retrievable inferior vena cava filters:indications,indwelling time,removal,success and complication rates.Isr Med Assoc J,2016,18:104-107.
[7]Usoh F,Hingorani A,Ascher E,et al.Prospective randomized study comparing the clinical outcomes between inferior vena cava Greenfield and TrapEase filters.J Vasc Surg,2010,52(2):394-399.
[8]Grewal S,Chamarthy MR,Kalva SP.Complications of inferior vena cava filters.Cardiovasc Diagn Ther,2016,6(6):632-641.
[9]Aoun SG,Bedros N,El Ahmadieh TY,et al.Osteodiscitis of the lumbar spine due to a migrated fractured inferior vena cava filter:case report.World Neurosurg,2018,113:298-303.
[10]Jia Z,Fuller TA,McKinney JM,et al.Utility of retrievable inferior vena cava filters:a systematic literature review and analysis of the reasons for nonretrieval of filters with temporary indications.Cardiovasc Intervent Radiol,2018,41(5):675-682.
[11]Removing Retrievable Inferior Vena Cava Filters：FDA safety communication.Date Updated:May 6,2014.https://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm396377.htm
[12]陈卓，丁文彬.不同下腔静脉滤器回收钩贴壁的取出技巧探讨.中国临床研究，2016,29(11)：1556-1558.
[13]柴伟，雷豹.应用指引导管辅助回收疑难贴壁下腔静脉滤器42例分析.中国实用外科杂志,2017,37(2):190-192.

备注/Memo

备注/Memo:
＊通讯作者，Email：lixf19981998@sina.com①（北京市顺义区中医院外科，北京101300）
更新日期/Last Update: 2019-03-01