Gunther Tulip Inferior Vena Cava Filter Placement During Treatment for Deep Venous Thrombosis of the Lower Extremity
Gunther Tulip Inferior Vena Cava Filter Placement During Treatment for Deep Venous Thrombosis of the Lower Extremity
复制标题
Gunther Tulip 在下肢深静脉血栓治疗期间放置下腔静脉过滤器
DOI：
10.1007/s00270-004-0108-3
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发表时间：
2005
影响因子：
2.9
通讯作者：
T. Nishimura
中科院分区：
文献类型：
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作者：
T. Yamagami;Takeharu Kato;S. Iida;T. Hirota;T. Nishimura
目的评价Gunther tulip可回收腔静脉滤器（GTF）在静脉溶栓、抗凝和介入治疗闭塞性和非闭塞性深静脉血栓（DVT）中预防肺栓塞的有效性和安全性方法我们评估了42例下肢DVT患者的55个GTF的放置，这些患者接受了各种治疗，包括利用介入放射学技术。结果肺栓塞恶化的患者与现有的肺栓塞或在那些没有肺栓塞的时间GTF插入在所有患者中避免。所有GTF植入尝试均安全完成。1例患者发生穿孔和移位是唯一的并发症。在GTF保护下免于肺栓塞的DVT平均治疗时间为12.7 ± 8.3天（平均值± SD，范围4-37天）。我们尝试在18例静脉血栓在治疗后消失的患者中回收GTF，其中1例回收失败。GTF留在24例患者的腔静脉永久使用时，DVT难治treatment.ConclusionThe能力的GTF，以防止肺栓塞治疗DVT的过程中被证明。阐明了置入和取出的安全性。由于不需要更换永久性滤器，因此在需要进一步防止并发性肺栓塞时，使用GTF非常方便。
PurposeTo evaluate the efficacy and safety of Gunther tulip retrievable vena cava filter (GTF) implantation to prevent pulmonary embolism during intravenously administered thrombolytic and anticoagulation therapy and interventional radiological therapy for occlusive or nonocclusive deep venous thrombosis (DVT) of the lower extremity.MethodsWe evaluated placement of 55 GTFs in 42 patients with lower extremity DVT who had undergone various treatments including those utilizing techniques of interventional radiology.ResultsWorsening of pulmonary embolism in patients with existing pulmonary embolism or in those without pulmonary embolism at the time of GTF insertion was avoided in all patients. All attempts at implantation of the GTF were safely accomplished. Perforation and migration experienced by one patient was the only complication. Mean period of treatment for DVT under protection from pulmonary embolism by the GTF was 12.7 ± 8.3 days (mean ± SD, range 4–37 days). We attempted retrieval of GTFs in 18 patients in whom the venous thrombus had disappeared after therapy, and retrieval in one of these 18 cases failed. GTFs were left in the vena cava in 24 patients for permanent use when the DVT was refractory to treatment.ConclusionThe ability of the GTF to protect against pulmonary embolism during treatment of DVT was demonstrated. Safety in both placement and retrieval was clarified. Because replacement with a permanent filter was not required, use of the GTF was convenient when further protection from complicated pulmonary embolism was necessary.