摘要
目的探讨可调弯鞘联合一次性活检钳在回收下腔静脉滤器中的技巧与临床应用。方法我院2017年12月~2020年12月回收下腔静脉滤器117例,术中均采用可调弯鞘联合一次性活检钳技术,成功将滤器回收,术后观察随访。结果117例进行腔静脉滤器(Aegisy滤器103例,Optease滤器9例,Günther Tulip滤器5例)回收病人,均采用可调弯鞘联合一次性活检钳技术回收成功,回收成功率100%。透视下抓取滤器的操作时间为45秒~12分57秒,平均2分38秒。造影显示下腔静脉血流通畅,无造影剂外渗,观察取出滤器形态正常,无变形及破损。术后随访1~36个月,平均6个月,均无下腔静脉狭窄或继发血栓形成等并发症发生。结论采用可调弯鞘联合一次性活检钳技术进行下腔静脉滤器回收,操作简便、创伤小、定位精确、回收率高、手术耗时短。
Objective To explore the technique and clinical application of Fustar combined with disposable biopsy forceps in the recovery of inferior vena cava filter.Methods A retrospective analysis of 117 cases of the inferior vena cava filter recovered from December 2017 to December 2020 in Wangjing Hospital of the Chinese Academy of Chinese Medical Sciences.The Fustar combined with disposable biopsy forceps were used during the operation.The filter was successfully recovered and performed after the operation.Follow-up observation.Results In this study,117 cases of vena cava filters,including 103 cases of Aegisy filter,9 cases of Optease filter,and 5 cases of Günther Tulip filter,were successfully recovered using the Fustar combined with disposable biopsy forceps,and the recovery success rate was 100%.The operation time of grasping the filter under fluoroscopy It was 45 seconds to 12 minutes and 57 seconds,with an average of 2 minutes and 38 seconds.The angiography showed that the inferior vena cava blood flowed smoothly,and there was no extravasation of contrast agent.Observation and removal of the filter was normal,without deformation or damage.The patients were followed up for 1 to 36 months,with an average of 6 months,and there were no complications such as inferior vena cava stenosis or secondary thrombosis.Conclusion The Fustar combined with disposable biopsy forceps in the recovery of the inferior vena cava filter has the characteristics of simple operation,small trauma,accurate positioning,high recovery rate,and short operation time.It can be promoted as the preferred solution for recovery of vena cava filter.
作者
王清霖
李学锋
焦强
武欣
沙斐
曹娟
WANG Qinglin;LI Xuefeng;JIAO Qiang(Department of Vascular Surgery,Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China)
出处
《临床外科杂志》
2022年第4期379-382,共4页
Journal of Clinical Surgery
关键词
腔静脉滤器
回收
可调弯鞘
一次性活检钳
inferior vena cava filter(IVCF)
recovery
Fustar
disposable biopsy forceps
