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題名 | Struts Fracture with Renal Vein Penetration and Migration of a Greenfield Vena Cava Filter: A Case Report=下腔靜脈過濾器之支架斷折併穿出腎靜脈:一病例報告 |
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作者 | 唐守宏; 蔡宜廷; 林致源; 李國楨; 蔡建松; | 書刊名 | 臺灣外科醫學會雜誌 |
卷期 | 36:1 民92.01-02 |
頁次 | 頁45-48 |
分類號 | 416.264 |
關鍵詞 | 下腔靜脈過濾器; 支架斷折; Fracture; Greenfield filter; Vena cava; |
語文 | 英文(English) |
英文摘要 | In the past twenty years, vena cava filters were widely used as adjuncts to anticoagulation therapy for preventing a life-threatening pulmonary embolism. Complications of organ perforation due to struts penetration and device migration were described in the literature. However, structural failure that results in struts fracture and causes symptoms was quite rare. We present a 46-year-old male who had received pulmonary embolectomy and intraoperative Greenfleld vena cava filter placement 26 years ago. While evaluating his right upper quadrant abdominal pain, a fracturing of the struts with renal vein penetration and migration of the filter were found. He received an exploratory laparotomy with clipping and removal of the penetrating struts. The patient was free of abdominal pain after discharge. |
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