Document Detail


Optional vena cava filters: indications, management, and results.
MedLine Citation:
PMID:  19623306     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: When anticoagulation is contraindicated or ineffective, optional vena cava filters can be used to prevent pulmonary embolism. These devices can be removed within a defined period of time or can remain in the vena cava permanently.
METHODS: The status of optional vena cava filters was studied by a review of the relevant literature found in a selective Medline search from 2000 to 2008, including a Cochrane review and published guidelines.
RESULTS: Optional vena cava filter can be removed up to 20 weeks or even longer after insertion (depending on the filter model) in a small interventional radiological procedure if therapeutic anticoagulation has been achieved or the patient is no longer at risk for venous thromboembolism. Current studies show comparable results for optional filters and permanent filters, but there have not yet been any prospective studies comparing the two filter types.
CONCLUSIONS: Optional vena cava filters are an important addition to the management of venous thromboembolic disease. As only limited data are available to date, the use of optional filters should be considered on an individual case basis.
Authors:
Hanno Hoppe
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Publication Detail:
Type:  Journal Article; Review     Date:  2009-06-12
Journal Detail:
Title:  Deutsches Ärzteblatt international     Volume:  106     ISSN:  1866-0452     ISO Abbreviation:  Dtsch Arztebl Int     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-07-22     Completed Date:  2009-10-08     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  101475967     Medline TA:  Dtsch Arztebl Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  395-402     Citation Subset:  IM    
Affiliation:
Institut für Diagnostische, Interventionelle und Pädiatrische Radiologie, Inselspital, Universitätsspital Bern, Schweiz. hanno.hoppe@insel.ch
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MeSH Terms
Descriptor/Qualifier:
Equipment Design
Humans
Pulmonary Embolism / epidemiology*,  prevention & control*
Treatment Outcome
Vena Cava Filters / utilization*
Venous Thromboembolism / epidemiology*,  prevention & control*
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