Document Detail


Long-term follow-up of Vena Tech-LGM filter: predictors and frequency of caval occlusion.
MedLine Citation:
PMID:  10082099     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report the frequency of caval occlusion after Vena Tech-LGM filter placement and identify related factors and their potential clinical significance. MATERIALS AND METHODS: The filter was inserted into 243 patients, 142 of whom met inclusion criteria for this prospective study. Follow-up examinations performed every 2 years included clinical evaluation, plain frontal radiography of the abdomen, duplex scanning of the inferior vena cava (IVC), and/or phlebocavography. RESULTS: A progressive decrease in IVC patency was observed, reaching 66.8% at 9 years of follow-up. Complete caval occlusion occurred in 28 patients and was significantly (P < 10(-6)) associated with retraction in 24 cases. Caval occlusion was not related to age, sex, pulmonary embolism (PE), deep venous thrombosis level, underlying conditions predisposing to a thromboembolic disease before filter insertion, the level of filter placement, use of anticoagulant therapy, and death during follow-up. PE with anticoagulation failure was a predictive factor (P = .016) of subsequent filter occlusion during follow-up as compared to all other clinical indications for filter placement. Filter patency at 9 years of follow-up was 35.2% in the PE group with anticoagulation failure and 80% for other patients (odds ratio, 2.5; 95% confidence interval 1.16-5.4). CONCLUSION: PE with anticoagulation failure was the only factor predictive of subsequent caval occlusion observed in patients after Vena Tech-LGM filter placement. Caval occlusion was also related to Vena Tech-LGM filter retraction, which usually occurred at the time of occlusion.
Authors:
D P Crochet; P Brunel; S Trogrlic; R Grossetëte; J L Auget; C Dary
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  10     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-04-05     Completed Date:  1999-04-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  137-42     Citation Subset:  IM    
Affiliation:
Department of Thoracic Radiology, Hemodynamics Center, Hôpital G. et R. Laënnec, CHRU Nantes, France.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Anticoagulants / therapeutic use
Confidence Intervals
Equipment Failure
Female
Follow-Up Studies
Forecasting
Humans
Leg / blood supply
Longitudinal Studies
Male
Odds Ratio
Phlebography
Proportional Hazards Models
Prospective Studies
Pulmonary Embolism / etiology
Radiography, Abdominal
Risk Factors
Sex Factors
Survival Analysis
Treatment Failure
Ultrasonography, Doppler, Duplex
Vascular Patency*
Vena Cava Filters*
Vena Cava, Inferior / pathology*,  radiography,  ultrasonography
Venous Thrombosis / etiology*,  radiography,  ultrasonography
Chemical
Reg. No./Substance:
0/Anticoagulants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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