Document Detail


Retrievable vena cava filters in trauma patients for high-risk prophylaxis and prevention of pulmonary embolism.
MedLine Citation:
PMID:  15910715     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Venous thromboembolic (VTE) disease remains a significant cause of morbidity for trauma patients because many patients have injuries that may preclude effective VTE prevention and treatment. Retrievable vena cava filters may prove beneficial in this subset of trauma patients. METHODS: Trauma patients at risk for VTE were identified and managed by institutional protocol. Patients who required a vena cava filter were managed with a device that could be retrieved or left in situ. A retrospective review of medical records was used to identify the use, indications, and complications associated with a retrievable filter. RESULTS: Fifty-three retrievable filters were placed in 51 patients. Two of these patients received a second filter, and 1 received a filter in the superior vena cava. Thirty-two filters were placed prophylactically, whereas 21 were placed for demonstrated venous thromboembolism (VTE). Retrieval was successful in 24 of 25 attempts. Twenty-nine filters became permanent: 10 for continued contraindications to anticoagulation without known VTE, 12 for known VTE and continued contraindications to anticoagulation, 1 for technical reasons, and 6 because of patient death. There were no complications of bleeding, device migration or thrombosis, infection, or pulmonary embolism. CONCLUSIONS: A retrievable vena cava filter appears safe and effective for the prevention of pulmonary embolism in the high-risk trauma patient who cannot receive anticoagulation.
Authors:
Todd L Allen; Jody L Carter; Brad J Morris; Colleen P Harker; Mark H Stevens
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  189     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-24     Completed Date:  2005-07-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  656-61     Citation Subset:  AIM; IM    
Affiliation:
Department of Emergency Medicine, Latter Day Saints Hospital, Salt Lake City, UT 84143, USA.
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MeSH Terms
Descriptor/Qualifier:
Anticoagulants / contraindications
Device Removal*
Female
Humans
Male
Middle Aged
Pulmonary Embolism / prevention & control*
Retrospective Studies
Risk Factors
Vena Cava Filters*
Venous Thrombosis / prevention & control*
Wounds and Injuries / mortality,  therapy*
Chemical
Reg. No./Substance:
0/Anticoagulants

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


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