INFERIOR VENA-CAVAL FILTER THROMBI - EVALUATION WITH INTRAVASCULAR US

被引：24
作者：
MCCOWAN, TC
FERRIS, EJ
CARVER, DK
机构：
[1] Department of Radiology, Univ. of Arkansas/Med. Science, Mail Slot 556, Little Rock, AR 72205
来源：
RADIOLOGY | 1990年 / 177卷 / 03期
关键词：
Interventional procedures; experimental; 982.1299; Ultrasound; (US); comparative studies; Venae cavae; filters; 982.456; thrombosis; 982.751; US studies; 982.12989;
D O I：
10.1148/radiology.177.3.2243990
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
A 20-MHz intravascular ultrasound (US) transducer inside a percutaneously inserted catheter was used to evaluate inferior vena caval (IVC) filters for thrombi in vitro and in vivo. Six different IVC filters were studied with intravascular US in a saline-filled model. Each filter had a characteristic, recognizable US pattern. Experimental thrombi as small as 0.5 cm3 were easily detected. Intravascular US was used clinically 25 times to evaluate the IVC in 23 patients with 24 IVC filters. Positive-contrast cavograms were available for comparison in all 25 cases. In 13 cases, no thrombi were identified in the filter or IVC with either intravascular US or cavography; in five of 12 cases with thrombi, intravascular US and cavography demonstrated the thrombi equally well. In six cases, intravascular US was superior to cavography in detection or delineation of thrombus in the IVC or filter. Intravascular US was considered superior to external duplex US in evaluation of caval thrombi in all 21 cases available for comparison. No complications from intravascular US were noted.
引用
收藏
页码：783 / 788
页数：6
相关论文
共 21 条
[1]  
Crowley R J, 1989, Int J Card Imaging, V4, P145, DOI 10.1007/BF01745144
[2]   EXPERIENCE WITH THE AMPLATZ RETRIEVABLE VENA-CAVA FILTER [J].
EPSTEIN, DH ;
DARCY, MD ;
HUNTER, DW ;
COLEMAN, CC ;
TADAVARTHY, SM ;
MURRAY, PD ;
CASTANEDAZUNIGA, WR ;
AMPLATZ, K .
RADIOLOGY, 1989, 172 (01) :105-110
[3]   GUNTHER VENA-CAVAL FILTER - RESULTS OF LONG-TERM FOLLOW-UP [J].
FOBBE, F ;
DIETZEL, M ;
KORTH, R ;
FELSENBERG, D ;
BENDER, S ;
HAMED, M ;
LAASS, C ;
SORENSEN, R .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1988, 151 (05) :1031-1034
[4]   CURRENT INDICATIONS FOR AND RESULTS OF GREENFIELD FILTER PLACEMENT [J].
GREENFIELD, LJ .
JOURNAL OF VASCULAR SURGERY, 1984, 1 (03) :502-504
[5]  
GREENFIELD LJ, 1981, ARCH SURG-CHICAGO, V116, P1451
[6]  
Hodgson J M, 1989, Int J Card Imaging, V4, P187, DOI 10.1007/BF01745149
[7]   PERCUTANEOUS INTRAVASCULAR-US AS ADJUNCT TO CATHETER-BASED INTERVENTIONS - PRELIMINARY EXPERIENCE IN PATIENTS WITH PERIPHERAL VASCULAR-DISEASE [J].
ISNER, JM ;
ROSENFIELD, K ;
LOSORDO, DW ;
KELLY, S ;
PALEFSKI, P ;
LANGEVIN, RE ;
RAZVI, S ;
PASTORE, JO ;
KOSOWSKY, BD .
RADIOLOGY, 1990, 175 (01) :61-70
[8]   PERCUTANEOUS INSERTION OF THE KIMRAY-GREENFIELD FILTER - INCIDENCE OF FEMORAL VEIN-THROMBOSIS [J].
KANTOR, A ;
GLANZ, S ;
GORDON, DH ;
SCLAFANI, SJA .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1987, 149 (05) :1065-1066
[9]  
LEIBMAN CE, 1988, AJR, V150, P1174
[10]   INFERIOR VENA-CAVAL FILTERS - NONINVASIVE EVALUATION [J].
LIU, GC ;
ANGTUACO, TL ;
FERRIS, EJ ;
SHAH, HR ;
REIFSTECK, JE ;
HARSHFIELD, DL .
RADIOLOGY, 1986, 160 (02) :521-524
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