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Final Two-Year Outcomes for the Sentry Bioconvertible Inferior Vena Cava Filter in Patients Requiring Temporary
Michael D Dake1, Timothy P Murphy2, Albrecht H Krämer3
1Department of Cardiothoracic Surgery, Stanford University School of Medicine, Falk Cardiovascular Research Center, 300 Pasteur Drive, Stanford, CA 94305.
The Sentry bioconvertible inferior vena cava (IVC) filter safely protected patients from pulmonary embolism (PE) for two years, showing a high success rate for intended bioconversion and few complications.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Cardiovascular Medicine
Background:
- Pulmonary embolism (PE) remains a significant cause of morbidity and mortality.
- Inferior vena cava (IVC) filters are used to prevent PE in high-risk patients.
- Bioconvertible IVC filters offer a temporary solution, reducing long-term risks.
Purpose of the Study:
- To evaluate the 2-year outcomes of the Sentry bioconvertible IVC filter.
- To assess the safety and efficacy of the Sentry filter for temporary PE protection.
Main Methods:
- Prospective, multicenter trial involving 129 patients.
- Implantation of the Sentry IVC filter in patients with DVT/PE or at temporary risk.
- 2-year follow-up including radiographic and CT imaging to monitor filter status and bioconversion.
Main Results:
- 97.4% clinical success at 6 months.
- 0% symptomatic PE through 1 year; 2.4% through 2 years (non-procedure related).
- High bioconversion rates (95.7% at 6 months, 96.5% at 24 months) with no late IVC obstruction or thrombosis.
Conclusions:
- The Sentry IVC filter demonstrated safety and efficacy in preventing PE over 2 years.
- High rates of successful filter bioconversion were observed.
- Low incidence of device-related complications, including no filter migration, fracture, or death.
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