mvjrМедицинский вестник Юга РоссииMedical Herald of the South of Russia2219-80752618-7876The Rostov State Medical University10.21886/2219-8075-2018-9-4-42-48mvjr-798Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESПовреждения стенки нижней полой вены и окружающих органов элементами конструкции кава-фильтров в позднем постимплантационном периодеThe vascular wall injuries of vena cava inferior and surrounding organs by structural elements of vena cava filters in the late post-implantation periodhttps://orcid.org/0000-0002-6997-4415КириенкоА. И.KirienkoA. I.АндрияшкинВ. В.AndriyashkinV. V.andriyashkin@gmail.comИвановВ. В.IvanovV. V.Российский национальный исследовательский медицинский университетРоссияPirogov Russian National Research Medical University, MoscowRussian Federation201827122018944248Copyright © Кириенко А.И., Андрияшкин В.В., Иванов В.В., 20182018Кириенко А.И., Андрияшкин В.В., Иванов В.В.Kirienko A.I., Andriyashkin V.V., Ivanov V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medicalherald.ru/jour/article/view/798Цель

Цель: Изучение частоты повреждения элементами кава-фильтров(КФ) современных конструкций стенки нижней полой вены (НПВ) и пенетрации в окружающие органы и ткани, выявляемых в ходе выполнения открытых оперативных вмешательств по поводу различных осложнений, обусловленных наличием фильтрующего устройства, в позднем постимплантационном периоде.

 Материал и методы

 Материал и методы: В исследование включены31 больной разных возрастных групп, оперированные за период с 2008 по 2017 гг. по поводу поздних осложнений имплантации КФ.

 Результаты

 Результаты: Пенетрацию элементов конструкции КФ за пределы НПВ выявили у 20 больных (64,5%), причём у 9 из них – в окружающие органы и магистральные сосуды. Возраст данной группы пациентов был от 20 до 58 лет. Длительность нахождения фильтрующего устройства в НПВ составляла от одного месяца до 18 лет (Ме – 14,5 мес.).В 95% наблюдений это были КФ конических моделей и в паракавальное пространство пенетрировали их «ножки». У 5 пациентов элементы фильтрующего устройства проникали в 12-перстную кишку, у 2-х – в гонадные вены, и по одному наблюдению – в стенку аорты и в ткань печени. 

Выводы

Выводы: Повреждение стенки НПВ элементами конструкции КФ и пенетрация их в окружающие органы и ткани в отдалённом постимплантационном периоде является распространённым осложнением, в преобладающей доле наблюдений обусловленным имплантацией КФ конической конструкции.

Objective

Objective: to study the frequency of vena cava inferior (VCI) injuries by the elements of the modern structures vena cava flters (VCF) and the penetration into surrounding organs and tissues, which revealed during the open surgical interventions for different complications due to the presence of a fltering device in the late post-implantation period.

Material and methods

Material and methods: the study had included 31 patient of different age groups, operated for the period from 2008 to 2017 with late complications of implantation of VCF.

Results

Results: penetration of structural elements of VCF beyond the limits of VCI was revealed in 20 patients, and 9 of them — in surrounding organs and main vessels. Te age of this group of patients was from 20 to 58 years. Te length of the fltering device in the VCI was from one month to 18 years (Me - 14.5 months). In 95 % of cases, this was the conical models VCF and their parts penetrated the paracaval space. In 5 patients, the elements of the flter device penetrated into the duodenum, 2 in the gonadal veins, and two observations - into the aortic wall and into the liver tissue.

Conclusions

Conclusions: damage vascular wall of VCI with elements of the VCF and their penetration into the surrounding organs and tissues in the distant post implantation period is a common complication, in the prevailing part of the observations caused by the implantation of the conical structure VCF.

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The authors declare that there are no conflicts of interest present.