The Excimer Laser Sheath Technique for Embedded Inferior Vena Cava Filter Removal
The Excimer Laser Sheath Technique for Embedded Inferior Vena Cava Filter Removal
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DOI：
10.1016/j.jvir.2010.08.013
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发表时间：
2010-12-01
影响因子：
2.9
通讯作者：
Cupp, John S.
中科院分区：
文献类型：
--
作者：
Kuo, William T.;Cupp, John S.
下腔静脉 (IVC) 过滤器在长时间植入后嵌入一名 45 岁男性的 IVC 内。由于过滤器腿合并在腔静脉内皮内，因此过滤器紧密粘附并且不能使用标准回收方法进行包覆。在该患者中，作者使用准分子激光鞘技术进行经皮滤器回收，以对滤器和 IVC 之间的致密纤维组织进行周向消融。血管内激光消融可以轻松地将过滤器与下腔静脉分离，而不会撕裂组织，并且过滤器被成功移除，没有出现并发症。
An inferior vena cava (IVC) filter became embedded within the IVC of a 45-year-old man after prolonged implantation. Because of incorporation of the filter legs within the caval endothelium, the filter was densely adherent and could not be sheathed using standard retrieval methods. In this patient, the authors performed percutaneous filter retrieval using an excimer laser sheath technique for circumferential ablation of dense fibrotic tissue between the filter and IVC. Endovascular laser ablation allowed facile separation of the filter from the IVC, without tearing of the tissues, and the filter was removed successfully without complication.