在使用 IVC 过滤器的情况下采用反向套管技术进行髂腹腔血栓切除术

IF 1.2 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

CVIR Endovascular Pub Date : 2024-02-22 DOI:10.1186/s42155-024-00437-7

Joshua Cornman-Homonoff, Angelo G. Marino, Hamid Mojibian

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引用次数: 0

摘要

Inari ClotTriever 系统（Inari Medical，加利福尼亚州欧文市）治疗深静脉血栓安全有效。然而，由于该系统由一个 31 厘米长的取芯装置和收集袋组成，使用时必须将其伸出，因此血管内的 "运行空间"（如存在 IVC 过滤器）可能会阻碍该系统的应用。我们在此介绍一种通过在鞘内逆行部署 ClotTriever 来绕过 IVC 过滤器的技术，并通过三个病例加以说明。这项技术将 ClotTriever 的适用范围扩大到了因其长度而无法使用的位置。

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Reverse sheathing technique for iliocaval thrombectomy in the setting of IVC filters

The Inari ClotTriever system (Inari Medical, Irvine, California) is safe and effective for the treatment of DVT. However, because it consists of a 31 cm coring device and collection bag that must be extended for use, application may be precluded by available intravascular “running room”, such as in the presence of an IVC filter. Here we present a technique for bypassing IVC filters via retrograde deployment of the ClotTriever within a sheath, as illustrated in three cases. This technique extends the applicability of the ClotTriever to locations in which its length would otherwise preclude use.

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来源期刊

CVIR Endovascular Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

2.30

自引率

0.00%

发文量