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Related Experiment Videos

[DIL vena cava filter. Initial experiences in 15 patients]

M Nägele1, C König, J Görich

  • 1Radiologische Klinik, Rheinische Friedrich-Wilhelms-Universität, Bonn.

Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|February 1, 1995
PubMed
Summary

Improperly deployed inferior vena cava (IVC) filters can lead to serious complications. Ensuring complete filter expansion is crucial to prevent IVC perforation, thrombosis, and migration, safeguarding patient outcomes.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiovascular Medicine

Background:

  • Inferior vena cava (IVC) filters are used to prevent pulmonary embolism.
  • Complications associated with IVC filter placement require thorough investigation.
  • The DIL filter is a type of retrievable vena cava filter.

Purpose of the Study:

  • To evaluate the safety and efficacy of DIL filters.
  • To assess complications related to filter deployment and patency.
  • To analyze the impact of filter deployment on vena cava lumen diameter.

Main Methods:

  • Permanent insertion of 15 DIL filters via cubital vein using a 7-F catheter.
  • Follow-up for six months in 12 patients.
  • Clinical assessment for pulmonary embolism recurrence and complications; measurement of vena cava lumen diameter.

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Main Results:

  • One filter failed to open; four were only partially opened.
  • No pulmonary embolism recurrences or complications occurred with correctly placed filters.
  • Incompletely expanded filters were associated with cava perforation (2 cases), thrombosis (1 case), and pulmonary artery migration (1 case).

Conclusions:

  • Incompletely expanded DIL filters should not be placed in the vena cava.
  • Correctly deployed filters showed no complications, but incomplete expansion led to severe adverse events.
  • Vena cava lumen reduction was observed; further comparison with other filters is needed.