دورية أكاديمية
Retrievable inferior vena cava filters can always be removed using "fall-back" techniques.
| العنوان: | Retrievable inferior vena cava filters can always be removed using "fall-back" techniques. |
|---|---|
| المؤلفون: | Etkin Y; Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, Pa. Electronic address: yana.etkin@uphs.upenn.edu., Glaser JD; Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, Pa., Nation DA; Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, Pa., Foley PJ; Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, Pa., Wang GJ; Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, Pa., Woo EY; Department of Vascular Surgery, MedStar Washington Hospital Center, Washington, D.C., Fairman RM; Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, Pa., Jackson BM; Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, Pa. |
| المصدر: | Journal of vascular surgery. Venous and lymphatic disorders [J Vasc Surg Venous Lymphat Disord] 2015 Oct; Vol. 3 (4), pp. 364-369. Date of Electronic Publication: 2015 Jun 30. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101607771 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2213-3348 (Electronic) NLM ISO Abbreviation: J Vasc Surg Venous Lymphat Disord Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Elsevier Inc., c2013- |
| مواضيع طبية MeSH: | Device Removal* , Vena Cava Filters*/adverse effects, Adult ; Aged ; Bariatric Surgery ; Female ; Humans ; Male ; Middle Aged ; Pulmonary Embolism/etiology ; Retrospective Studies ; Risk Factors ; Treatment Outcome ; Vena Cava, Inferior ; Venous Thromboembolism/prevention & control |
| مستخلص: | Objective: Retrievable inferior vena cava filters (IVCFs) left in place for a prolonged period can lead to complications including filter migration, fracture, and caval thrombosis. "Fall-back" techniques for IVCF retrieval that can be used when standard snaring is unsuccessful have been recently described. The purpose of this study was to analyze how incorporation of these new techniques affected the outcomes of IVCF retrievals at our institution during the past 5 years. Methods: Data were collected of all patients undergoing IVCF removal by vascular surgeons at a tertiary academic medical center between 2009 and 2013, including demographics and procedural and filter characteristics. A standard technique of snaring the retrieval hook was attempted first in all cases; if this was unsuccessful, a number of fall-back techniques were employed, including the use of endoscopic graspers, 18F sheaths, and snaring a second wire below the collar of the filter to collapse it into the sheath. Results: IVCF retrieval was attempted in 275 patients; 3 were excluded intraoperatively because of thrombus in the filter. Most filters (97%) were Günther Tulips (Cook Medical, Bloomington, Ind); 70% had been placed prophylactically before bariatric surgery. A total of 268 filters (98.5%) were retrieved successfully, 213 (79%) by standard snaring and 55 (21%) with fall-back techniques. In patients undergoing fall-back techniques, technical success was achieved 100% of the time. The median time since insertion was significantly longer in the fall-back group (173 days vs 83 days; P < .0001). Four intraoperative complications occurred; fractured wires embolized to the right atrium or pulmonary artery and were successfully removed endovascularly. The majority of the procedures (80%) were performed under sedation in both groups. Conclusions: Incorporation of fall-back techniques may allow 100% technically successful and safe removal of retrievable IVCFs and is especially useful in removing filters with prolonged dwell time. (Copyright © 2015 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20160320 Date Completed: 20180315 Latest Revision: 20190201 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.jvsv.2015.04.002 |
| PMID: | 26992612 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 2213-3348 |
|---|---|
| DOI: | 10.1016/j.jvsv.2015.04.002 |