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Related Experiment Videos

[Temporary caval filters. Indications, problems and results]

F Urigo1, L Carpanese, A Salis

  • 1Istituto di Scienze Radiologiche C. Bompiani, Università degli Studi di Sassari.

La Radiologia Medica
|December 1, 1993
PubMed
Summary

Temporary inferior vena cava filters effectively prevented pulmonary embolism in deep venous thrombosis patients. Careful patient selection is crucial for managing potential thrombotic complications associated with these devices.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiovascular Medicine

Context:

  • Acute deep venous thrombosis (DVT) poses a significant risk of pulmonary embolism (PE).
  • Inferior vena cava (IVC) filters are used to prevent PE in high-risk patients.
  • Temporary IVC filter placement offers a reversible solution for PE prophylaxis.

Purpose:

  • To evaluate the efficacy and safety of temporary inferior vena cava filters in preventing pulmonary embolism in patients with acute deep venous thrombosis.
  • To assess outcomes associated with adjunctive therapies such as heparin and fibrinolysis in conjunction with temporary IVC filters.

Summary:

  • Twenty temporary IVC filters (Filcard and Bruneau types) were placed for 4-14 days in acute DVT patients.
  • No patient experienced clinical pulmonary embolism; one case of cranial thrombus spread was successfully treated with fibrinolysis.

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  • Adjunctive therapies including heparin and fibrinolysis showed variable results in thrombus resolution and vein patency.

    • Impact:

    • Temporary IVC filters can be an effective strategy for preventing PE in selected acute DVT patients.
    • Successful management of temporary IVC filters requires careful patient selection, considering contraindications to anticoagulation and fibrinolysis.
    • Further research may optimize the use of temporary IVC filters and associated therapies for improved patient outcomes.