Application of contrast-enhanced ultrasound before inferior vena cava filter recovery
| Autor: | Wei-Qin Li, Bian-Lian Guo, Zhen-Feng Wang, Ji-Ping Yan |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty China Vena Cava Filters Deep vein Inferior vena cava filter Contrast Media Vena Cava Inferior 030204 cardiovascular system & hematology Inferior vena cava 03 medical and health sciences Young Adult 0302 clinical medicine Medicine Humans Thrombus Ultrasonography Doppler Color Ultrasonography Interventional Aged Retrospective Studies Venous Thrombosis medicine.diagnostic_test business.industry Angiography 030208 emergency & critical care medicine Digital subtraction angiography Middle Aged medicine.disease Venous thrombosis medicine.anatomical_structure medicine.vein cardiovascular system Female Radiology Cardiology and Cardiovascular Medicine business Pulmonary Embolism Contrast-enhanced ultrasound |
| Zdroj: | International angiology : a journal of the International Union of Angiology. 36(5) |
| ISSN: | 1827-1839 |
| Popis: | BACKGROUND This study aims to investigate the clinical value of contrast-enhanced ultrasound (CEU) before temporary inferior vena cava filter (IVCF) recovery in patients with deep venous thrombosis, in order to provide ultrasound signs for the recovery of IVCF in clinical practice. METHODS The CEU manifestations of patients with deep vein thrombosis before temporary IVCF recovery were retrospectively analyzed. With the manifestations of digital subtraction angiography (DSA) or results of the surgical recovery of IVCF as the standard, the detection rate of a thrombus in IVCF was compared between conventional ultrasound and CEU, and the role of CEU in detecting complications of IVCF was analyzed. RESULTS In the 103 patients with IVCF, conventional ultrasound and CEU did not reveal any filter displacement and deformation, as well as infection. In 86 patients, filters were successfully recovered under DSA. In one patient, the filter was removed surgically. In 16 patients, recovery failed or was given up, and inferior vena cava (IVC) angiography was performed. The recovery rate of IVCF was 84.5%. Among all cases, thrombi were found within the filters or around the filter in 23 patients. The detection rate of thrombi was 47.8% (11/23) by conventional ultrasound and 82.6% (19/23) by CEU, and the difference between these two methods was statistically significant (P |
| Databáze: | OpenAIRE |
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