Open surgical removal of retained and dislodged inferior vena cava filters

被引：19

作者：

Rana, Muhammad A. ^{[1
]}

Gloviczki, Peter ^{[1
]}

Kalra, Manju ^{[1
]}

Bjarnason, Haraldur ^{[2
]}

Huang, Ying ^{[1
]}

Fleming, Mark D. ^{[1
]}

机构：

[1] Mayo Clin, Div Vasc & Endovasc Surg, 200 First St SW, Rochester, MN 55905 USA

[2] Mayo Clin, Dept Radiol, Rochester, MN USA

来源：

JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS | 2015年 / 3卷 / 02期

关键词：

PERFORATION; MANAGEMENT; RETRIEVAL; SOCIETY;

D O I：

10.1016/j.jvsv.2014.11.007

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Retained inferior vena cava (IVC) filters can lead to significant complications. Six patients underwent open surgical removal of complicated IVC filters that could not be removed endovascularly. Struts of the filter perforated the IVC wall in all patients and the adjacent viscera in five. Caval clamping and longitudinal cavotomy with direct closure were used in two patients to remove permanent filters. IVC clamping was not needed in three patients, in whom the filter was first collapsed and then removed through a stab venotomy in the IVC (n = 2) or lumbar vein (n = 1). A broken strut that infected the vertebra was removed outside the IVC in the sixth patient. No early or delayed complications, venous thrombosis, or pulmonary embolism was encountered at a mean follow-up of 1.3 years.

引用

页码：201 / 206

页数：6

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