Current practice of temporary vena cava filter insertion:: A multicenter registry
Current practice of temporary vena cava filter insertion:: A multicenter registry
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DOI：
10.1016/s1051-0443(07)61287-1
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发表时间：
2000-01-01
影响因子：
2.9
通讯作者：
Zwaan, M
中科院分区：
文献类型：
--
作者：
Lorch, H;Welger, D;Zwaan, M
目得：为了评估目前的做法，临时腔静脉滤器放置及其complications.MATERIALS和METHODS：一个多中心的注册表进行了从1995年5月至1997年5月使用标准化的问卷调查。对188名患者进行了评估。患者的特点，过滤器的适应症，过滤器的特点，和并发症registered.Results：深静脉血栓形成被证明在95.2%的患者。主要滤器适应症为溶栓治疗（53.1%），平均滤器时间为5.4天。56.4%的患者插入了Antheor滤器，28.6%插入了Guenther滤器，17.%插入了Prolyser滤器。经股静脉滤器植入术略受青睐（54.8%）。4例患者在滤器保护期间死于肺栓塞（PE）。主要滤器问题为滤器血栓形成（16%）和滤器脱位（4.8%）。当血栓被发现在或在过滤器preparation，额外的溶栓进行了16.7%，额外的过滤器植入10%，血栓抽吸6.7%; 4.8%的过滤器被替换为永久filters.Discussion：临时腔静脉过滤器放置，以防止PE在一个定义的患者人群，尽管他们的存在，PE仍然发生在一个小的百分比。问题的过滤器血栓形成和脱位必须solved.CONCLUSION：这个多中心注册的结果支持创新的过滤器设计，以及一个随机的，前瞻性的研究。
PURPOSE: To evaluate the current practice of temporary vena cava filter placement and its complications.MATERIALS AND METHODS: A multicenter registry was conducted from May 1995 until May 1997 using a standardized questionnaire. One hundred eighty-eight patients were evaluated. Patient characteristics, filter indications, filter characteristics, and complications were registered.RESULTS: Deep vein thrombosis was proven in 95.2% of the patients. Main filter indication was thrombolysis therapy (53.1%), Average filter time was 5.4 days. An Antheor filter was inserted in 56.4%, a Guenther filter in 28.6%, and a Prolyser filter in 17.%. Transfemoral filter implantation was slightly preferred (54.8%). Four patients died of pulmonary embolism (PE) during filter protection. Major filter problems were filter thrombosis (16%) and filter dislocation (4.8%). When thrombus was found in or at the filter before explantation, additional thrombolysis was performed in 16.7%, additional filter implantation in 10%, and thrombus aspiration in 6.7%; 4.8% of filters were replaced with permanent filters.DISCUSSION: Temporary vena cava filters are placed to prevent PE in a defined patient population, Despite their presence, PEs still occur in a small percentage. Problems of filter thrombosis and dislocation have to be solved.CONCLUSION: The results of this multicenter registry support the need for innovative filter design, as well as a randomized, prospective study.