Document Detail


Outcomes with retrievable inferior vena cava filters.
MedLine Citation:
PMID:  20440042     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This was a retrospective study of 144 patients with retrievable inferior vena cava (IVC) filters inserted between 2004 and 2008 at a community/teaching hospital. The purpose was to evaluate the incidence of complications and the rate and success of retrieval. Retrieval of IVC filters was attempted in 14 of 144 (10%) patients at an average of 4.6 months. Retrieval was successful in 10 of 14 (71%). Within 6 months of insertion, retrieval was successful in 10 of 12 (83%). Unsuccessful attempts were at 3, 6, 8 and 9 months. Non-bleeding complications of IVC filters occurred in 12 of 144 (8.3%). Half (6 of 12) of the complications occurred after 3 months of insertion. Complications included IVC thrombosis in 3 (2.1%) (1 also had a new deep venous thrombosis [DVT]), a new DVT alone in 6 patients (4.2%), a new DVT with new pulmonary embolism (PE) in 1 patient (0.7%) and filter migration in 2 patients (1.3%). In conclusion, retrieval was attempted in only a small proportion of patients at a community/teaching hospital. Formalized guidelines for follow up may increase the proportion of patients in whom retrieval is attempted. Half of the complications of IVC filters could have been avoided with retrieval within 3 months.
Authors:
Muhammad Janjua; Fahad Younas; Irfan Moinuddin; Aaref Badshah; Abhijeet Basoor; Abdo Y Yaekoub; Fadi Matta; Kiritkumar C Patel; Jane Liang; Russell D Hull; Paul D Stein
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  22     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-04     Completed Date:  2010-08-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  235-9     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, St. Joseph Mercy Oakland, Pontiac, Michigan 48341-5023, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Anticoagulants / therapeutic use
Device Removal / statistics & numerical data
Female
Follow-Up Studies
Foreign-Body Migration / mortality,  prevention & control,  therapy
Humans
Incidence
Male
Middle Aged
Pulmonary Embolism / drug therapy,  mortality*,  prevention & control*
Recurrence
Retrospective Studies
Treatment Outcome
Vena Cava Filters / adverse effects*,  statistics & numerical data*
Vena Cava, Inferior
Venous Thrombosis / drug therapy,  mortality*,  therapy*
Young Adult
Chemical
Reg. No./Substance:
0/Anticoagulants
Comments/Corrections
Comment In:
J Invasive Cardiol. 2010 May;22(5):240-1   [PMID:  20440043 ]

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


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