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[Experiences with the Günther filter].

J Schweizer1, E Altmann, P K Schmidt

  • 1II. Medizinische Klinik, Städtischen Klinikums Dresden-Friedrichstadt.

Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|September 1, 1991
PubMed
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The Guenther-filter showed no early complications in lung embolism patients. However, late complications like dislocations and breaks necessitate critical evaluation of its use.

Area of Science:

  • Medical Devices
  • Vascular Surgery
  • Pulmonary Medicine

Context:

  • Pulmonary embolism (PE) is a serious condition requiring effective treatment.
  • Inferior Vena Cava (IVC) filters are used to prevent PE.
  • The Guenther-filter is one such device used in clinical practice.

Purpose:

  • To evaluate the safety and efficacy of the Guenther-filter in patients with lung embolism.
  • To assess early and late complications associated with Guenther-filter implantation.
  • To determine the long-term clinical outcomes of using the Guenther-filter.

Summary:

  • A post-observation study of 17 patients with lung embolism treated with a Guenther-filter was conducted over up to two years.
  • No early complications were observed following Guenther-filter implantation.

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  • Late complications included filter dislocations, deformations, and spoke fractures, leading to critical considerations regarding its application.

    • Impact:

    • Findings suggest that while the Guenther-filter is easy to handle, its long-term safety profile requires critical assessment due to late complications.
    • This study contributes to understanding the risks associated with IVC filters and informs clinical decision-making.
    • Further research may be needed to optimize filter design or identify alternative treatment strategies for PE.