| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Vascular and Interventional Radiology |
1 From the Department of Radiology, GRB 290A, Massachusetts General Hospital, 32 Fruit St, Boston, MA 02114, and Harvard Medical School. Received May 25, 1999; revision requested July 16; final revision received September 29; accepted October 20. Address correspondence to C.A.A. (e-mail: athanasoulis.christos@mgh.harvard.edu).
PURPOSE: To review a 26-year single-center clinical experience with inferior vena caval filters.
MATERIALS AND METHODS: During 1973–1998, 1,765 filters were implanted in 1,731 patients. Hospital files were reviewed, and data were collected about the indications, safety, effectiveness, numbers, and types of caval filters. Fatal postfilter pulmonary embolism (PE) was considered the primary outcome. Morbidity and mortality were determined as secondary outcomes. Survival and morbidity-free survival curves were calculated.
RESULTS: The prevalence of observed postfilter PE was 5.6%. It was fatal in 3.7% of patients. In most patients, fatal PE occurred soon after filter insertion (median, 4.0 days; 95% CI: 2.2, 5.8 days). Major complications occurred in 0.3% of procedures. The prevalence of observed postfilter caval thrombosis was 2.7%. The 30-day mortality rate was 17.0% overall, higher among patients with neoplasms (19.5%) as compared with those without neoplasms (14.3%; P = .004). Filter efficacy and associated morbidity were not different in 46 patients with suprarenal filters. The rate of filters placed for prophylaxis was 4.7% overall and increased to 16.4% in 1998. From 1980 to 1996, there was a fivefold increase in the number of caval filter implants. In recent years, more filters were implanted in younger patients.
CONCLUSION: Inferior vena caval filters provide protection from life-threatening PE, with minimal morbidity.
Index terms: Embolism, pulmonary, 60.72, 944.77 • Interventional procedures, complications, 982.77 • Venae cavae, filters, 982.1267 • Venae cavae, interventional procedures, 982.1267
This article has been cited by other articles:
|
|
 |
|
  G. Mohan, R. Kasmani, K. Okoli, and H. Elkambergy Right atrial foreign body: transvenous migration of Greenfield filter Interactive CardioVascular and Thoracic Surgery, February 1, 2009; 8(2): 245 - 246. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Binkert, M. C. Morash, and J. D. Gates Venographic Findings at Retrieval of Inferior Vena Cava Filters Am. J. Roentgenol., April 1, 2007; 188(4): 1039 - 1043. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. O. Baerlocher and M. R. Asch Interventional radiology in palliative care Can. Med. Assoc. J., March 13, 2007; 176(6): 762 - 763. [Full Text] [PDF]
|
|
|
|
 |
|
 C. Schunn, G. B. Schunn, G. Hobbs, L. C. Vona-Davis, and U. Waheed Inferior Vena Cava Filter Placement in Late-Stage Cancer Vascular and Endovascular Surgery, August 1, 2006; 40(4): 287 - 294. [Abstract] [PDF]
|
|
|
|
 |
|
 A. C. Chiou, K. L. Biggs, and J. S. Matsumura Vena Cava Filters: Why, When, What, How? Perspectives in Vascular Surgery and Endovascular Therapy, December 1, 2005; 17(4): 329 - 339. [Abstract] [PDF]
|
|
|
|
|
|
L. B. Kaufman, B. M. Yeh, R. S. Breiman, B. N. Joe, A. Qayyum, and F. V. Coakley Inferior Vena Cava Filling Defects on CT and MRI Am. J. Roentgenol., September 1, 2005; 185(3): 717 - 726. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. B. Hunter and M. S. Taljanovic Medical Devices of the Abdomen and Pelvis RadioGraphics, March 1, 2005; 25(2): 503 - 523. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Henkle, P. Kunz, and B. Funaki Patterns of Referral for Inferior Vena Caval Filtration: Delays and Their Impact Am. J. Roentgenol., October 1, 2004; 183(4): 1021 - 1024. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. R. Buller, G. Agnelli, R. D. Hull, T. M. Hyers, M. H. Prins, and G. E. Raskob Antithrombotic Therapy for Venous Thromboembolic Disease: The Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy Chest, September 1, 2004; 126(3_suppl): 401S - 428S. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. D. Stein, F. Kayali, and R. E. Olson Twenty-one-Year Trends in the Use of Inferior Vena Cava Filters Arch Intern Med, July 26, 2004; 164(14): 1541 - 1545. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. B. Streiff Vena Caval Filters: A Review for Intensive Care Specialists J Intensive Care Med, March 1, 2003; 18(2): 59 - 79. [Abstract] [PDF]
|
|
|
|
 |
|
 M. R. Asch Initial Experience in Humans with a New Retrievable Inferior Vena Cava Filter Radiology, December 1, 2002; 225(3): 835 - 844. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Porcellini, P. Stassano, A. Musumeci, and G. Bracale Intracardiac migration of nitinol TrapEaseTM vena cava filter and paradoxical embolism Eur. J. Cardiothorac. Surg., September 1, 2002; 22(3): 460 - 461. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Girard, J.-B. Stern, and F. Parent Medical Literature and Vena Cava Filters* : So Far So Weak Chest, September 1, 2002; 122(3): 963 - 967. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Savin, H. K. Panicker, S. Sadiq, Y. A. Albeer, and R. E. Olson Placement of Vena Cava Filters: Factors Affecting Technical Success and Immediate Complications Am. J. Roentgenol., September 1, 2002; 179(3): 597 - 602. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Athanasoulis Vascular Radiology: Looking into the Past to Learn about the Future Radiology, February 1, 2001; 218(2): 317 - 322. [Full Text]
|
|
