CAJ | 학술논문

目的：探讨经下腔静脉滤器（IVCF）间孔输入导管治疗肺栓塞（PE）的方法。方法2011年1月-2012年12月对11例PE患者先行IVCF置入，然后经滤器间孔输送导管进入肺动脉，经导管溶栓、碎栓、取栓等综合治疗，随访3～20个月，观察疗效。结果11例患者症状均即时改善，随访期间无PE加重及再次PE发生。结论对于急性PE患者，首先置入IVCF，然后经滤器间孔进行导管操作，方法安全且疗效肯定。
목적：탐토경하강정맥려기（IVCF）간공수입도관치료폐전새（PE）적방법。방법2011년1월-2012년12월대11례PE환자선행IVCF치입，연후경려기간공수송도관진입폐동맥，경도관용전、쇄전、취전등종합치료，수방3～20개월，관찰료효。결과11례환자증상균즉시개선，수방기간무PE가중급재차PE발생。결론대우급성PE환자，수선치입IVCF，연후경려기간공진행도관조작，방법안전차료효긍정。
Objective To discuss the technique of insertion the catheter through the inferior vena cava filter (IVCF) hole for the treatment of pulmonary embolism. Methods During the period from Jan. 2011 to Dec. 2012 at authors’ hospital, the placement of IVCF was carried out in 11 patients with pulmonary embolism (PE), which was followed by catheterization of pulmonary artery through IVCF hole to perform the catheter thrombolysis, thrombus-breaking, removal of thrombus, etc. All the patients were followed up for 3-20 months, and the clinical results were evaluated. Results After the treatment, the clinical symptoms were immediately improved in all patients. During the follow-up period, no deterioration of clinical symptoms or new pulmonary embolism occurred. Conclusion For the treatment of patients with acute pulmonary embolism, implantation of inferior vena cava filter followed by catheterization of pulmonary artery through IVCF hole to perform the procedure of catheter thrombolysis is safe with reliable therapeutic effect.(J Intervent Radiol, 2014, 23:296-298).