發(fā)布時(shí)間：2018-11-12 10:07

【摘要】：目的探討復(fù)雜性回收鉤貼壁下腔靜脈濾器的取出技巧及應(yīng)用策略。方法收集因?yàn)V器回收鉤貼壁、采用Günther Celect配套回收裝置無法成功取出Celect下腔靜脈濾器9例,采用交換導(dǎo)絲成襻法行下腔靜脈濾器取出術(shù)。結(jié)果 9例患者,最長植入時(shí)間為142天,最短37天,平均(88.67±33.85)天。使用交換導(dǎo)絲成襻法8枚濾器成功取出,1例患者因下腔靜脈嚴(yán)重彎曲致回收失敗,濾器回收成功率為88.89%(8/9)。濾器回收耗時(shí)57~162min,平均(69.89±12.12)min。所有濾器取出后形態(tài)完整,術(shù)后下腔靜脈造影復(fù)查未見管壁穿孔,對(duì)比劑外滲。結(jié)論采用交換導(dǎo)絲成襻法可有效提高回收鉤貼壁下腔靜脈濾器成功回收率,具有一定的臨床應(yīng)用價(jià)值。
[Abstract]:Objective to explore the removal technique and application strategy of the complex recovery hook attached to inferior vena cava filter. Methods 9 cases of Celect inferior vena cava filter could not be removed successfully by G 眉 nther Celect device. Results the longest implantation time was 142 days, the shortest was 37 days, the average was (88.67 鹵33.85) days. Eight filters were successfully removed by the method of exchange guide loop. One patient failed to recover because of the severe curvature of inferior vena cava. The success rate of recovery was 88.89% (8 / 9). The recovery time of filter was 57,162 min, with an average of (69.89 鹵12.12) min.. After removal of all filters, the morphology was complete. No perforation was observed in inferior vena cava (IVC) after operation, and contrast agent exosmosis was observed. Conclusion the successful recovery rate of the recovery hook attached to inferior vena cava filter can be effectively increased by using the method of loop making with exchange guide wire, which has certain clinical application value.
【作者單位】： 西南醫(yī)科大學(xué)附屬中醫(yī)醫(yī)院介入診療科;
【分類號(hào)】：R654.4
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本文編號(hào)：2326798