| Pulmonary embolism from upper extremity deep vein thrombosis and the role of superior vena cava filters: a review of the literature. | |
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MedLine Citation:
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PMID: 20434365 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The placement of superior vena cava (SVC) filters to prevent pulmonary emboli (PE) from upper-extremity deep vein thrombosis (UEDVT), although controversial, has been reported. A total of 21 publications were identified that reported 209 SVC filters and documented eight major filter-related complications (3.8%), including four cardiac tamponades, two aortic perforations, and one recurrent pneumothorax. The in-hospital or 1-month mortality rate was 43.1%. Twenty-eight additional publications were identified that reported 3,747 cases of UEDVT. The rates of PE and associated mortality were 5.6% and 0.7%, respectively. Studies imaging both upper and lower extremities found deep vein thrombus 14.7 times more likely to occur in the lower extremities and the rate of PE from a lower-extremity thrombus to be 25.1%. The lack of evidence documenting the risk from UEDVT and the absence of data supporting the safety and efficacy of SVC filters bring their benefit into question. |
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Authors:
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Charles A Owens; James T Bui; M Grace Knuttinen; Ron C Gaba; Tami C Carrillo |
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Publication Detail:
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Type: Journal Article; Meta-Analysis; Review |
Journal Detail:
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Title: Journal of vascular and interventional radiology : JVIR Volume: 21 ISSN: 1535-7732 ISO Abbreviation: J Vasc Interv Radiol Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-24 Completed Date: 2010-09-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9203369 Medline TA: J Vasc Interv Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 779-87 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2010 SIR. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Division of Interventional Radiology, University of Illinois Medical Center, M/C 931, 1740 West Taylor Street, Chicago, IL 60612, USA. cowens@uic.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Humans Incidence Pulmonary Embolism / mortality*, prevention & control* Risk Assessment Risk Factors Survival Analysis Survival Rate Vena Cava Filters / utilization* Vena Cava, Superior / surgery* Venous Thrombosis / mortality*, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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