Current trends in vena caval filtration with the introduction of a retrievable filter at a level I trauma center.
Current trends in vena caval filtration with the introduction of a retrievable filter at a level I trauma center.
复制标题
随着一级创伤中心引入可回收过滤器，腔静脉过滤的当前趋势。
DOI：
10.1097/01.ta.0000135497.10468.2b
复制
发表时间：
2004
期刊：
影响因子：
--
通讯作者：
S. Shackford
中科院分区：
文献类型：
--
作者：
C. Morris;F. Rogers;K. Najarian;Anant D. Bhave;S. Shackford
客观的
本研究的目的是记录 I 级创伤中心使用可选腔静脉过滤器的初步经验、适应症、技术成功和并发症。
方法
对 15 个月期间放置的所有静脉腔静脉过滤器的创伤登记和介入放射学数据库进行了审查。审查了患者年龄、适应症、过滤器类型以及放置和移除过滤器之间的持续时间的记录。
结果
130 名患者（55 名创伤患者）体内放置了 136 个过滤器，最常放置的过滤器是 Günther Tulip（n = 58，创伤患者中 29 个）。 1,257 名创伤患者中，有 45 名接受了预防性腔静脉滤器，比例为 4%。 15 名患者进行了 22 例重新定位（n = 8）或移除手术（n = 14，其中 9 例为创伤患者），技术成功率为 93%。无轻微并发症发生，重大并发症1例。放置和移除之间的平均持续时间为 19 天（范围：11-41 天）。前瞻性选择去除过滤器的患者的平均年龄（29岁；范围，18-71岁）显着低于选择放置预防性永久过滤器的创伤、手术和颅内出血患者的平均年龄（49岁；范围，19-82岁）（p < 0.002；95%置信区间，18.0-22.4）。
结论
Günther Tulip 过滤器在该 I 级创伤中心通常用作可选过滤器，可以作为永久过滤器留在原处，也可以在放置后 41 天内移除。制造商建议，无需干预重新定位程序，Günther Tulip 过滤器可以在植入后 14 天内安全移除，也可以作为永久过滤器保留在原处。
OBJECTIVE
The purpose of this study was to document the initial experience, indications, technical success, and complications with an optional vena caval filter at a Level I trauma center.
METHODS
The trauma registry and interventional radiology database were reviewed for all venal caval filters placed during a 15-month period. Records were reviewed for age of patient, indication, type of filter, and duration between placement and removal of the filter.
RESULTS
One hundred thirty-six filters were placed into 130 patients (55 trauma patients), and the most frequently placed filter was the Günther Tulip (n = 58, 29 in trauma patients). Forty-five of 1,257 trauma patients received a prophylactic vena cava filter, for a rate of 4%. Twenty-two repositioning (n = 8) or removal procedures (n = 14, 9 in trauma patients) were performed in 15 patients, with a technical success rate of 93%. No minor complications and one major complication occurred. The average duration between placement and removal was 19 days (range, 11-41 days). The mean age of patients selected prospectively for filter removal (29 years; range, 18-71 years) was significantly lower than the mean age (49 years; range, 19-82 years) of trauma, surgical, and intracranial hemorrhage patients selected for placement of prophylactic permanent filters (p < 0.002; 95% confidence interval, 18.0-22.4).
CONCLUSION
The Günther Tulip filter is commonly used at this Level I trauma center as an optional filter that can be left in place as a permanent filter or removed up to 41 days after placement. Without an intervening repositioning procedure, the manufacturer suggests that the Günther Tulip filter can be safely removed within 14 days of implantation, or it can remain in place as a permanent filter.