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Related Experiment Videos

Long-term experience with the Mobin-Uddin umbrella

G Rao

    International Surgery
    |May 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Mobin-Uddin umbrella filters effectively prevent pulmonary emboli in high-risk patients. Caval patency was maintained with Coumadin, showing minimal residual venous stasis and no treatment-related deaths.

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    Area of Science:

    • Vascular Surgery
    • Cardiology
    • Interventional Radiology

    Background:

    • Pulmonary embolism (PE) is a significant cause of morbidity and mortality.
    • Inferior vena cava (IVC) filters are used to prevent PE in patients at high risk.
    • The Mobin-Uddin umbrella filter is one such device used for caval interruption.

    Purpose of the Study:

    • To evaluate the safety and efficacy of the Mobin-Uddin umbrella filter.
    • To assess outcomes in patients undergoing caval filter insertion for various indications.
    • To determine the long-term patency and complication rates associated with the device.

    Main Methods:

    • A retrospective review of 56 patients who received Mobin-Uddin umbrella filters over seven years.
    • Indications for filter placement included shock and large venous clots, with most patients in Greenfield's Class IV.

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  • All patients received heparin prophylaxis before and after filter insertion; some received long-term Coumadin therapy.

    • Main Results:

    • No deaths occurred during the study period.
    • A few complications were noted, but the overall safety profile was favorable.
    • Caval patency was maintained throughout follow-up in patients treated with Coumadin.
    • Minimal residual venous stasis was observed in the legs post-procedure.

    Conclusions:

    • The Mobin-Uddin umbrella filter is a simple and effective method for preventing pulmonary emboli.
    • Long-term anticoagulation with Coumadin appears to promote caval patency after filter placement.
    • The device demonstrates a favorable safety profile with no treatment-related mortality.