Annals of translational medicine · 2021
Feasibility study of hand-carried ultrasound-guided retrievable inferior vena cava filter placement.
СтатьяНазвание и аннотация: Перевод в очереди
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Zhu Hang, Du Wen-Juan, Wang Xiao-Hua, Yang Yang, Dekyi, Chen Yun-Dai, Zhao Jing
Аннотация
BACKGROUND: With the development of ultrasonic diagnostic techniques in recent years, ultrasound-guided placement of inferior vena cava (IVC) filters has been widely used in clinics, and satisfactory results have been achieved. Our study aims to observe the accuracy of hand-carried ultrasound-guided retrievable vena cava filter placement, evaluate the feasibility and safety of this new method, and provide a scientific and effective interventional method and clinical data to prevent acute pulmonary embolism (PE) after battle injury of limbs.
METHODS: Two hundred patients with post-traumatic thrombosis of the extremities were enrolled. The renal vein was located under the guidance of hand-carried ultrasound. The retrievable filter was fixed 1-2 cm below the opening of the renal vein. The self-expanding filter was used after the filter's position was confirmed by injecting the contrast agent under the digital subtraction angiography (DSA) fluoroscopy.
RESULTS: All the 200 patients underwent the operation successfully. The position of the hand-carried ultrasound localizer was consistent with the DSA localizer. All the filters were expanded smoothly. No complications related to the operation occurred.
CONCLUSIONS: The study concluded that the hand-carried ultrasound-guided retrievable vena cava filter placement has a high success rate and can prevent acute PE after limbs' battle injury.
METHODS: Two hundred patients with post-traumatic thrombosis of the extremities were enrolled. The renal vein was located under the guidance of hand-carried ultrasound. The retrievable filter was fixed 1-2 cm below the opening of the renal vein. The self-expanding filter was used after the filter's position was confirmed by injecting the contrast agent under the digital subtraction angiography (DSA) fluoroscopy.
RESULTS: All the 200 patients underwent the operation successfully. The position of the hand-carried ultrasound localizer was consistent with the DSA localizer. All the filters were expanded smoothly. No complications related to the operation occurred.
CONCLUSIONS: The study concluded that the hand-carried ultrasound-guided retrievable vena cava filter placement has a high success rate and can prevent acute PE after limbs' battle injury.