Safety and efficacy of the Gunther Tulip retrievable vena cava filter: midterm outcomes.
Cardiovasc Intervent Radiol
; 36(4): 998-1005, 2013 Aug.
Article
em En
| MEDLINE
| ID: mdl-23180324
ABSTRACT
PURPOSE:
To evaluate of the medium-term integrity, efficacy, and complication rate associated with the Gunther Tulip vena cava filter.METHODS:
A retrospective study was performed of 369 consecutive patients who had infrarenal Gunther Tulip inferior vena cava filters placed over a 5-year period. The mean patient age was 61.8 years, and 59% were men. Venous thromboembolic disease and a contraindication to or complication of anticoagulation were the indications for filter placement in 86% of patients; 14% were placed for prophylaxis in patients with a mean of 2.3 risk factors. Follow-up was obtained by review of medical and radiologic records.RESULTS:
Mean clinical follow-up was 780 days. New or recurrent pulmonary embolus occurred in 12 patients (3.3%). New or recurrent deep-vein thrombosis occurred in 53 patients (14.4%). There were no symptomatic fractures, migrations, or caval perforations. Imaging follow-up in 287 patients (77.8%) at a mean of 731 days revealed a single (0.3%) asymptomatic fracture, migration greater than 2 cm in 36 patients (12.5%), and no case of embolization. Of 122 patients with CT scans, asymptomatic perforations were identified in 53 patients (43.4%) at a mean 757 days.CONCLUSION:
The Gunther Tulip filter was safe and effective at 2-year follow-up. Complication rates were similar to those reported for permanent inferior vena cava filters.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
6_ODS3_enfermedades_notrasmisibles
Base de dados:
MEDLINE
Assunto principal:
Embolia Pulmonar
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Falha de Prótese
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Filtros de Veia Cava
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Trombose Venosa
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Remoção de Dispositivo
Tipo de estudo:
Etiology_studies
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Evaluation_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Female
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Humans
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Male
Idioma:
En
Revista:
Cardiovasc Intervent Radiol
Ano de publicação:
2013
Tipo de documento:
Article