[1]孙振阳** 芮清峰 刘允乐 周芙增 范坤坤 董凤雷.导丝和导管辅助在回收贴壁型Aegisy腔静脉滤器中的应用[J].中国微创外科杂志,2021,01(11):1049-1052.
 Sun Zhenyang,Rui Qingfeng,Liu Yunle,et al.Application of Guide Wire and Catheter in the Recovery of Aegisy Vena Cava Filter With Recycling Hook Attached to the Wall[J].Chinese Journal of Minimally Invasive Surgery,2021,01(11):1049-1052.
点击复制

导丝和导管辅助在回收贴壁型Aegisy腔静脉滤器中的应用()
分享到:

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

卷:
01
期数:
2021年11期
页码:
1049-1052
栏目:
经验交流
出版日期:
2021-11-25

文章信息/Info

Title:
Application of Guide Wire and Catheter in the Recovery of Aegisy Vena Cava Filter With Recycling Hook Attached to the Wall
作者:
孙振阳** 芮清峰 刘允乐 周芙增 范坤坤 董凤雷
(阜阳市第二人民医院血管外科,阜阳236015)
Author(s):
Sun Zhenyang Rui Qingfeng Liu Yunle et al.
Department of Vascular Surgery, Fuyang Second People’s Hospital, Fuyang 236015, China
关键词:
可回收腔静脉滤器深静脉血栓形成回收钩贴壁
Keywords:
Recyclable vena cava filtersVenous thrombosisRecycling hook attached to the wall
文献标志码:
B
摘要:
目的探讨泥鳅导丝、猪尾导管在可回收Aegisy腔静脉滤器回收钩贴壁时的应用价值。方法2015年1月~2020年4月我们对21例术中造影证实Aegisy腔静脉滤器回收钩贴下腔静脉管壁者,采用猪尾管搅拌、导丝成襻、成襻导丝与鹅颈抓捕器配合等技术回收腔静脉滤器。结果20例在导丝、导管辅助下顺利回收,1例未能成功回收,回收率952%。回收滤器完整,无折断现象。术中无下腔静脉破裂出血、肺栓塞并发症。19例随访6~36个月,(24.7±6.5)月,下腔静脉血流通畅,无血流受阻,腹腔无明显出血表现。结论导丝、导管辅助可增加回收钩贴壁型Aegisy腔静脉滤器回收率,不增加患者经济负担,值得临床推广应用。
Abstract:
ObjectiveTo explore the application value of the loach guide wire and pigtail catheter in the recovery of Aegisy inferior vena cava filter with hook attached to the wall.MethodsFrom January 2015 to April 2020, 21 patients who were confirmed by intraoperative angiography that Aegisy vena cava filter retraction hook attached to the wall of inferior vena cava were treated with the technology of pigtail stirring, guide wire forming loop, and the combination of guide wire forming loop and gooseneck catcher.ResultsA total of 20 cases were recovered successfully with the help of guide wire and catheter, while 1 case failed to recover. The recovery rate was 95.2%. The recovery filter was complete without breakage. There were no complications such as rupture of inferior vena cava or pulmonary embolism during the operations. During followups for 6-36 months,with a mean of (24.7±6.5) months, the blood flow of the inferior vena cava remained unobstructed.ConclusionsThe combined use of guide wire and catheter can increase the recovery rate for Aegisy filter with recycling hook attached to the venous wall. It dose not increase the economic burden of patients. It is worthy of popularization and application in clinical practice.

参考文献/References:

[1]中华医学会外科学分会血管外科学组.深静脉血栓形成的诊断和治疗指南(第三版).中国血管外科杂志(电子版),2017,9(4):250-257.
[2]赵伯翔,顾建平,何旭,等.下腔静脉滤器长期留置并发症CT随访的单中心研究.介入放射学杂志,2016,25(11):944-948.
[3]Grewal S, Chamarthy MR, Kalva SP. Complications of inferior vena cava filters.Cardiovasc Diagn Ther,2016,6(6):632- 641.
[4]石浩钒,史亚东,施万印,等.下腔静脉滤器致静脉管壁损伤及修复的实验研究.影像诊断与介入放射学,2019,28(6):439-444.
[5]刘新奇,闫盛,胡杰,等.Aegisy型可回收性下腔静脉滤器的动物实验研究.中国微创外科杂志,2014,14(6):555-559.
[6]高喜翔,张建,谷涌泉,等.一种可自动变形腔静脉滤器的体内评价实验.中国组织工程研究,2018,22(10):1547-1552.
[7]焦强,李学锋,武欣,等.一次性活检钳联合可调弯鞘回收腔静脉滤器的初步经验.中国微创外科杂志,2018,18(11):1015-1017.
[8]阎浩,乔林,黄倩.导丝成襻切割技术辅助回收嵌顿的下腔静脉滤器.介入放射学杂志,2020,29(8):768-771.
[9]艾文佳,林少芒,萧剑彬,等.18例下腔静脉滤器血栓的腔内治疗疗效分析.中国血管外科杂志(电子版),2018,10(4):279-282.
[10]柴伟,雷豹,张雷,等.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:
基金项目:阜阳市卫生健康委科研立项课题(FY2019-066)**通讯作者,Email:13966805312@163.com
更新日期/Last Update: 2022-02-10