Application of retrievable vena cava filter in patients with lower limb fractures complicated with deep venous thrombosis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

XIE Mingrui ¹ ,  WANG Xuegang ²

1. Department of Orthopaedics, the Central Hospital of Mianyang City, Mianyang, Sichuan 621000, P. R. China;
2. Department of Vascular Surgery, the Central Hospital of Mianyang City, Mianyang, Sichuan 621000, P. R. China;

Corresponding?author：

WANG Xuegang, Email: myvascular@163.com

Keywords：

lower limb fracture; pelvic fracture; deep vein thrombosis; vena cava filter

DOI：

10.7507/1007-9424.201811008

Video：

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Objective To explore the value of recombinant inferior vena cava filter (IVCF) in the prevention of perioperative pulmonary embolism in patients with lower limb or pelvic fracture combined with deep venous thrombosis (DVT).Methods The clinical data of 168 patients with lower limb or pelvic fracture combined with DVT were analyzed retrospectively.Results The filters were successfully implanted in 168 patients, and the recoverable filters were removed after (48.3±4.8) d (14–97 d). The filters were removed successfully in 159 cases, and the removal rate was 94.6%. Sixty-one cases were found to have thrombus on the filter after contrast examination or removal of vena cava filter, that is, the thrombus interception rate was 36.3%.Conclusion For patients with lower limb or pelvic fracture combined with DVT, the rechargeable vena cava filter can effectively stop thrombosis and avoid pulmonary embolism.

Citation： XIE Mingrui, WANG Xuegang. Application of retrievable vena cava filter in patients with lower limb fractures complicated with deep venous thrombosis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(3): 312-314. doi: 10.7507/1007-9424.201811008 Copy

1.	中華醫學會放射學分會介入學組. 下腔靜脈濾器置入術和取出術規范的專家共識. 介入放射學雜志, 2011, 20(5): 340-344.
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5.	解銀立, 張大春, 支興興, 等. 可回收下腔靜脈濾器在骨折合并深靜脈血栓中的應用. 中國介入影像與治療, 2018, 15(2): 69-72.
6.	中華醫學會骨科學分會創傷骨科學組. 創傷骨科患者深靜脈血栓形成篩查與治療的專家共識. 中華創傷骨科雜志, 2013, 15(12): 1013-1017.
7.	崔淑君, 趙清華, 劉青, 等. 腔靜脈濾器產品綜述. 中國醫療器械雜志, 2016, 40(3): 191-196.
8.	袁濤, 王志波, 畢偉, 等. 腔靜脈濾器的選擇性應用. 血管與腔內血管外科雜志, 2017, 3(1): 563-565.
9.	李軍, 代遠斌. 下腔靜脈濾器置入預防肺栓塞. 中國組織工程研究, 2012, 16(16): 3001-3004.
10.	陳曉明. 下腔靜脈濾器植入術的適應癥及其隨訪管理. 循證醫學, 2016, 16(6): 335-335.
11.	Kearon C, Akl EA, Ornelas J, et al. Antithrombotic therapy for VTE disease: CHEST guideline and expert panel report. Chest, 2016, 149(2): 315-352.
12.	張光軍, 虞貞鳳, 周文華, 等. 98例老年急性下肢深靜脈血栓形成的診治分析. 中國普外基礎與臨床雜志, 2017, 24(6): 732-735.
13.	周瀚, 梁魯, 姚碧輝, 等. 下肢深靜脈血栓穩定性的研究現狀及展望. 中國普外基礎與臨床雜志, 2017, 24(4): 525-528.
14.	Postema M, Gilja OH. Contrast-enhanced and targeted ultrasound. World J Gastroenterol, 2011, 17(1): 28-41.
15.	徐英江, 陳剛, 韓新強, 等. 下腔靜脈濾器置入術后血栓形成的診治分析. 臨床外科雜志, 2018, 26(2): 135-137.

1. 中華醫學會放射學分會介入學組. 下腔靜脈濾器置入術和取出術規范的專家共識. 介入放射學雜志, 2011, 20(5): 340-344.
2. 潘燁, 趙珺, 孫玉強, 等. 下肢骨創傷并深靜脈血栓行下腔靜脈濾器植入的單中心回顧性研究. 中華外科雜志, 2014, 52(4): 254-257.
3. Gillern SM, Sheppard FR, Evans KN, et al. Incidence of pulmonary embolus in combat casualties with extremity amputations and fractures. J Trauma, 2011, 71(3): 607-613.
4. 牛鹿原, 張歡, 張福先. 急性下肢深靜脈血栓發生癥狀性肺栓塞的預測. 中華普通外科雜志, 2017, 32(5): 415-417.
5. 解銀立, 張大春, 支興興, 等. 可回收下腔靜脈濾器在骨折合并深靜脈血栓中的應用. 中國介入影像與治療, 2018, 15(2): 69-72.
6. 中華醫學會骨科學分會創傷骨科學組. 創傷骨科患者深靜脈血栓形成篩查與治療的專家共識. 中華創傷骨科雜志, 2013, 15(12): 1013-1017.
7. 崔淑君, 趙清華, 劉青, 等. 腔靜脈濾器產品綜述. 中國醫療器械雜志, 2016, 40(3): 191-196.
8. 袁濤, 王志波, 畢偉, 等. 腔靜脈濾器的選擇性應用. 血管與腔內血管外科雜志, 2017, 3(1): 563-565.
9. 李軍, 代遠斌. 下腔靜脈濾器置入預防肺栓塞. 中國組織工程研究, 2012, 16(16): 3001-3004.
10. 陳曉明. 下腔靜脈濾器植入術的適應癥及其隨訪管理. 循證醫學, 2016, 16(6): 335-335.
11. Kearon C, Akl EA, Ornelas J, et al. Antithrombotic therapy for VTE disease: CHEST guideline and expert panel report. Chest, 2016, 149(2): 315-352.
12. 張光軍, 虞貞鳳, 周文華, 等. 98例老年急性下肢深靜脈血栓形成的診治分析. 中國普外基礎與臨床雜志, 2017, 24(6): 732-735.
13. 周瀚, 梁魯, 姚碧輝, 等. 下肢深靜脈血栓穩定性的研究現狀及展望. 中國普外基礎與臨床雜志, 2017, 24(4): 525-528.
14. Postema M, Gilja OH. Contrast-enhanced and targeted ultrasound. World J Gastroenterol, 2011, 17(1): 28-41.
15. 徐英江, 陳剛, 韓新強, 等. 下腔靜脈濾器置入術后血栓形成的診治分析. 臨床外科雜志, 2018, 26(2): 135-137.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of retrievable vena cava filter in patients with lower limb fractures complicated with deep venous thrombosis

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