Results of a multicenter study of the retrievable Tulip vena cava filter: Early clinical experience
Results of a multicenter study of the retrievable Tulip vena cava filter: Early clinical experience
复制标题
可回收郁金香腔静脉过滤器的多中心研究结果：早期临床经验
DOI：
10.1007/s002709900102
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发表时间：
1997
影响因子：
2.9
通讯作者：
J. Janssen
中科院分区：
文献类型：
--
作者：
J. Neuerburg;R. Günther;D. Vorwerk;R. Dondelinger;H. Jäger;K. Lackner;H. Schild;G. Plant;F. Joffre;P. Schneider;J. Janssen
PurposeTo临床评估一种新的，可回收的腔静脉过滤器在一个多中心study.MethodsThe郁金香过滤器是一个不锈钢半篮，是适合于顺行或逆行插入通过一个8.5 Fr的导引鞘。可使用11 Fr同轴回收系统经颈静脉入路回收滤器。在83例患者中，48例滤器通过股动脉入路植入，38例通过颈静脉入路植入。75例患者在滤器插入后3年（平均136天）内进行了随访检查（平片、彩色双功超声检查）。27例患者进行了筛选彩色编码的双功超声检查插入部位thrombosis. ResultsA适当的过滤器的位置，在所有情况下实现。3例病例发生了插入问题;这些问题不是由于滤器设计，而是由于原型插入机制不完善（现已修改）（n=2）或操作错误（n=1）。在其中2例病例中，经皮更换了滤器; 1例患者需要静脉切开术取出滤器。未发生滤器插入导致的进一步并发症。两个滤器用作临时器械，分别在6天和11天后成功取出。有1例致死性复发性肺栓塞（PE）和2例非致死性PE，5例完全腔静脉闭塞和3例部分腔静脉闭塞，以及3例滤器尾部移位。插入部位静脉血栓形成没有看到在27例监测此complication.ConclusionPrecise放置的郁金香过滤器是可行的，无论是访问路线和设备出现机械稳定。需要进一步观察，以确认滤器插入后10天内安全取出是可行的。
PurposeTo evaluate clinically a new, retrievable vena caval filter in a multicenter study.MethodsThe Tulip filter is a stainless steel half-basket that is suitable for antegrade or retrograde insertion via an 8.5 Fr introducer sheath. The filter can be retrieved via the jugular approach using an 11 Fr coaxial retrieval system. Forty-eight filters were implanted via the femoral approach and 38 via the jugular approach in 83 patients. Follow-up examinations (plain films, colorcoded duplex sonography) were performed up to 3 years after filter insertion (mean 136 days) in 75 patients. Twenty-seven patients were screened by colorcoded duplex sonography for insertion site thrombosis.ResultsAn appropriate filter position was achieved in all cases. Insertion problems occurred in 3 cases; these were not due to the filter design but to an imperfect prototype insertion mechanism that has now been modified (n=2) or a manipulation error (n=1). In 2 of these cases the filters were replaced percutaneously; 1 patient required venotomy for filter removal. No further complications due to filter insertion occurred. Two filters were used as temporary devices and were successfully removed after 6 and 11 days, respectively. There was 1 fatal recurrent pulmonary embolism (PE) and 2 non-fatal PE, 5 complete and 3 partial caval occlusions, and 3 caudal migrations of the filter. Insertion site venous thrombosis was not seen in the 27 patients monitored for this complication.ConclusionPrecise placement of the Tulip filter is feasible by either access route and the device appears mechanically stable. Further observations are needed to confirm that safe filter removal is practical up to 10 days after its insertion.