Retrievable inferior vena cava filters can be placed and removed with a high degree of success: Initial experience.
Retrievable inferior vena cava filters can be placed and removed with a high degree of success: Initial experience.
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DOI：
10.1002/ccd.25716
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发表时间：
2015-10
影响因子：
2.3
通讯作者：
McPhail, Ian R.
中科院分区：
文献类型：
--
作者：
Cohoon, Kevin P.;McBride, Joseph;Friese, Jeremy L.;McPhail, Ian R.
在三级护理实践中评估可回收下腔静脉滤器(IVC)移除的成功率。2003年食品和药物管理局批准后，可回收的IVC过滤器在美国很容易买到，而且它们的使用大幅增加。对于有抗凝禁忌症的患者来说，它们是一个有吸引力的选择，他们可能只需要针对肺血栓的短期保护。对2003年至2005年间在梅奥诊所接受可回收下腔静脉滤器植入的所有患者进行了回顾，以评估我们在大型三级护理中心使用可回收下腔静脉滤器的初步经验。在三年的时间里，明尼苏达州罗切斯特市的梅奥诊所放置了892个下腔静脉滤器，其中460个是可回收的。在放置的460个可回收滤镜中(249个Günther Tulip®、207个Recovery®和4个OptEase®)，223个(48.5%)尝试检索。在223次初步尝试中，196次(87.9%)初步成功，27次(12.1%)失败。在27次失败的初步回收中，23次(85.2%)是由于滤器内存在明显的血栓，4次(14.8%)是由于倾斜和支柱穿孔。在23个含有显著血栓的过滤器中，9个(39.1%)在经过一段时间的抗凝和血栓溶解后被回收。可回收的下腔静脉滤器可以很成功地移除。大约十分之一的可回收下腔静脉滤器移除尝试最初可能会失败，通常是因为滤器内有明显的血栓。这并不排除在以后的日期可能被移除。
Evaluate the success rate of retrievable inferior vena cava filter (IVC) removal in a tertiary care practice. Retrievable IVC filters became readily available in the United States following Food and Drug Administration approval in 2003, and their use has increased dramatically. They represent an attractive option for patients with contraindications to anticoagulation who may only need short-term protection against pulmonary embolism. All patients who had undergone placement of a retrievable IVC filter at Mayo Clinic between 2003 and 2005 were retrospectively reviewed to evaluate our initial experience with retrievable inferior vena cava filters at a large tertiary care center. During a three-year-period of time, Mayo Clinic, Rochester, MN placed 892 IVC filters, of which 460 were retrievable. Of the 460 retrievable filters placed (249 Günther Tulip®, 207 Recovery®, and 4 OptEase®), retrieval was attempted in 223 (48.5%). Of 223 initial attempts, 196 (87.9%) were initially successful and 27 (12.1%) were unsuccessful. Of the 27 unsuccessful initial retrieval attempts, 23 (85.2%) were due to the presence of significant thrombus within the filter and 4 (14.8%) were due to tilting and strut perforation. Of the 23 filters containing significant thrombus, 9 (39.1%) were later retrieved after a period of anticoagulation and resolution of the thrombus. Retrievable IVC filters can be removed with a high degree of success. Approximately one in ten retrievable IVC filter removal attempts may fail initially, usually because of significant thrombus within the filter. This does not preclude possible removal at a later date.
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影响因子：
--
作者：
Heit, JA;Silverstein, MD;Melton, LJ
通讯作者：
Melton, LJ
DOI：
10.1016/0967-2109(95)90895-c
发表时间：
1995-04-01
期刊：
Cardiovascular surgery (London, England)
影响因子：
--
作者：
Greenfield, L J;Proctor, M C
通讯作者：
Proctor, M C
影响因子：
39
作者：
Sarosiek, Shayna;Crowther, Mark;Sloan, J. Mark
通讯作者：
Sloan, J. Mark
影响因子：
2.9
作者：
Durack, Jeremy C.;Westphalen, Antonio C.;Kerlan, Robert K.
通讯作者：
Kerlan, Robert K.
影响因子：
0.9
作者：
Skeik, Nedaa;McEachen, James C.;Andrews, James C.
通讯作者：
Andrews, James C.