دورية أكاديمية
Prophylactic IVC filter placement in bariatric surgery patients: results from a prospective filter registry.
| العنوان: | Prophylactic IVC filter placement in bariatric surgery patients: results from a prospective filter registry. |
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| المؤلفون: | Sheu AY; Division of Vascular and Interventional Radiology, Stanford University Medical Center, 300 Pasteur Drive, H-3651, Stanford, CA 94305-5642 USA., Hoang NS; Division of Vascular and Interventional Radiology, Stanford University Medical Center, 300 Pasteur Drive, H-3651, Stanford, CA 94305-5642 USA., Kesselman AJ; Division of Vascular and Interventional Radiology, Stanford University Medical Center, 300 Pasteur Drive, H-3651, Stanford, CA 94305-5642 USA., Liang T; Division of Vascular and Interventional Radiology, Stanford University Medical Center, 300 Pasteur Drive, H-3651, Stanford, CA 94305-5642 USA., Rosenberg JK; Division of Vascular and Interventional Radiology, Stanford University Medical Center, 300 Pasteur Drive, H-3651, Stanford, CA 94305-5642 USA., Kuo WT; Division of Vascular and Interventional Radiology, Stanford University Medical Center, 300 Pasteur Drive, H-3651, Stanford, CA 94305-5642 USA. |
| المصدر: | CVIR endovascular [CVIR Endovasc] 2018; Vol. 1 (1), pp. 13. Date of Electronic Publication: 2018 Nov 15. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer International Publishing Country of Publication: Switzerland NLM ID: 101738484 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2520-8934 (Electronic) Linking ISSN: 25208934 NLM ISO Abbreviation: CVIR Endovasc Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: Cham : Springer International Publishing, [2018]- |
| مستخلص: | Background: Bariatric surgery patients are at increased risk for VTE, but potential risks versus benefits of IVC filters in this group remain unclear. Indwelling filters may increase risk of VTE, and removal of filters in obese patients can be challenging. This study evaluated the incidence of VTE in select bariatric patients receiving prophylactic IVC filters, their risk of filter-related complications, and outcomes from attempted filter retrieval. Results: Postsurgical DVT occurred in 3 patients within 3 months postoperatively (3%)(95%CI:1-9%), and 1 patient(1%)(95%CI:0-5%) developed acute low-risk PE at 31 days postoperatively, prior to filter removal. All VTE patients were successfully managed with therapeutic anticoagulation alone except one who required thrombolysis. Median filter dwell time was 54 days (range:22-1548), and there were no major filter-related complications (0%)(95%CI:0-3%). Retrieval was attempted in 104 cases (97%)(95%CI:92-99%) and successful in 104 cases (100%)(95%CI:97-100%). Thirty-three patients (32%)(95%CI:23-42%) required advanced techniques for filter removal, and there were no major procedural complications (0%)(95%CI:0-3%). Median follow-up occurred at 344 days (range:3-1570) days after filter retrieval. Conclusions: No cases of life-threatening post-op PE occurred in this cohort of high-risk bariatric surgery patients receiving prophylactic IVC filters in combination with mechanical and chemoprophylaxis. The risk of filter-related complications was low and retrieval success was high with adjunctive use of advanced techniques. Clinical Trial Registration: NCT01158482. Competing Interests: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.Not applicable.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
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| فهرسة مساهمة: | Keywords: Acute PE; Bariatric surgery; Inferior vena cava filter |
| سلسلة جزيئية: | ClinicalTrials.gov NCT01158482 |
| تواريخ الأحداث: | Date Created: 20190118 Latest Revision: 20220331 |
| رمز التحديث: | 20240829 |
| مُعرف محوري في PubMed: | PMC6319537 |
| DOI: | 10.1186/s42155-018-0021-5 |
| PMID: | 30652145 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2520-8934 |
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| DOI: | 10.1186/s42155-018-0021-5 |