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[Temporary vena cave filter: critical comments]

H J Textor1, H Strunk, H H Schild

  • 1Radiologische Universitätsklinik Bonn.

Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|October 1, 1996
PubMed
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Temporary vena cava filters can cause complications like thrombosis and infection, often linked to their fixation. Facultative temporary filters without permanent retrieval systems appear safer for patients.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Medical Device Safety

Background:

  • Temporary vena cava filters are used to prevent pulmonary embolism.
  • Complications associated with these filters necessitate careful evaluation.
  • Understanding the causes of complications is crucial for improving patient outcomes.

Purpose of the Study:

  • To retrospectively evaluate the reasons for complications arising from temporary vena cava filter placement.
  • To identify specific filter types and their associated complication rates.

Main Methods:

  • Retrospective analysis of 9 complications in patients who received temporary or retrievable vena cava filters.
  • Inclusion of specific filter models: Anthéor TC-, Filcard RF 02-Filter (temporary), Dil-, FCP 2002-Filter (retrievable).

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Main Results:

  • Seven cases of filter thrombosis and two cases of severe infection were observed.
  • Five filter thromboses occurred in temporary filters.
  • Two filter thromboses and two infections occurred in facultative temporary filters.

Conclusions:

  • The primary complications of temporary vena cava filters, such as thrombosis and infection, are associated with the filter's fixation mechanism.
  • Facultative temporary vena cava filters lacking a permanent percutaneous retrieval system demonstrated a safer profile.