复杂可回收下腔静脉滤器回收的方法和技巧:附29例分析

发布时间：2019-02-25 09:13

【摘要】：目的:探讨复杂可回收下腔静脉滤器回收的方法和技巧。方法:回顾性分析29例复杂滤器回收的下肢深静脉血栓形成患者资料。所有患者均先行造影了解滤器情况;对回收钩贴壁患者,分别采用猪尾管支撑技术、导丝成攀及搅拌技术、双向导丝技术、鹅颈抓捕器与成攀导丝结合技术等回收;对下腔静脉继发血栓患者,必要时再次新置滤器1枚,经溶栓、吸栓处理后,将滤器回收。结果:成功回收24例,1例患者滤器未能成功回收,4例放弃,回收率83.9%。术中无下腔静脉破裂出血、肺栓塞并发症,取出滤器完整、无折断现象。至少随访半年,下腔静脉血流通畅、无血栓形成,腹腔无明显积液。结论:导管、导丝及鹅颈抓捕器辅助,溶栓、吸栓等方法可增加复杂可回收下腔静脉滤器回收率,可减少长期留置引起相关并发症。
[Abstract]:Objective: to explore the method and technique of complex recyclable inferior vena cava filter. Methods: the data of 29 patients with deep venous thrombosis of lower extremity recovered by complex filter were analyzed retrospectively. All the patients were examined in advance to understand the situation of filter, and the recovery hooks and adherent patients were recovered by pig tail tube support technology, guide wire climbing and stirring technology, bidirectional wire guide technology, goose neck gripper and climbing guide wire technology, etc. In patients with secondary thrombus of inferior vena cava, if necessary, a new filter was placed again. After thrombolysis and thrombolysis, the filter was recovered. Results: 24 cases were recovered successfully, 1 case failed to recover the filter, 4 cases gave up, the recovery rate was 83.9%. There was no hemorrhage of inferior vena cava and complications of pulmonary embolism. At least half a year follow-up, the inferior vena cava blood flow unobstructed, no thrombosis, no obvious peritoneal effusion. Conclusion: the methods of catheter, wire guide and gooseneck trap, thrombolysis and thrombolysis can increase the recovery rate of complex recoverable inferior vena cava filter and reduce the complications caused by long-term indwelling.
【作者单位】：安徽省阜阳市第二人民医院血管外科;
【分类号】：R543.6

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