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Related Experiment Videos

Clinical experience with temporary vena caval filters

M Zwaan1, H Lorch, C Kulke

  • 1Department of Radiology, Medical University of Lübeck, Germany.

Journal of Vascular and Interventional Radiology : JVIR
|July 31, 1998
PubMed
Summary

Temporary vena caval filters are safe when used for specific indications like iliac vein thrombosis. The Antheor filter system demonstrated ease of implantation in this study.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Thrombosis Management

Background:

  • Prophylactic vena caval filters aim to prevent pulmonary embolism.
  • Temporary filters offer a solution for short-term risk mitigation.
  • Evaluating different temporary filter systems is crucial for clinical practice.

Purpose of the Study:

  • To assess the benefits and complications of prophylactic temporary vena caval filters.
  • To compare the performance of three distinct temporary caval filter systems.
  • To identify factors influencing filter-related complications.

Main Methods:

  • A prospective study involving 67 patients receiving temporary vena caval filters.
  • Implantation of Cook, Angiocor, and Antheor filter systems via various approaches (transjugular, transfemoral, transbrachial).

Related Experiment Videos

  • Filters were placed prophylactically in patients with iliac vein or caval thrombosis, undergoing surgery, or during thrombolytic therapy.
  • Main Results:

    • One fatal pulmonary embolism occurred during treatment; seven thrombi were detected in filters.
    • Complications included filter implantation issues (e.g., thrombosis, rupture) and therapy-related events (e.g., bleeding, fever).
    • Bleeding complications were primarily linked to aggressive thrombolytic therapy, not filter implantation itself.

    Conclusions:

    • Temporary vena caval filters are indicated for patients with iliac vein or caval thrombosis and risk of thrombus mobilization.
    • These filters have no inherent long-term complications.
    • The Antheor filter system was found to be the most convenient for implantation.