Clinical experience with retrievable Gunther Tulip vena cava filters
Détails
ID Serval
serval:BIB_03A6033E0933
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Clinical experience with retrievable Gunther Tulip vena cava filters
Périodique
Journal of Endovascular Therapy
ISSN
1526-6028
Statut éditorial
Publié
Date de publication
10/2003
Peer-reviewed
Oui
Volume
10
Numéro
5
Pages
994-1000
Langue
anglais
Résumé
PURPOSE: To report clinical experience with retrievable Gunther Tulip filters from implantation to retrieval and their status in nonretrieved situations. METHODS: Seventy-five Gunther Tulip filter implantations were performed in 71 patients (43 women; mean age 55 years). Indications for filter placement were pulmonary embolism (PE) or iliofemoral deep vein thrombosis (DVT) in patients with a contraindication to anticoagulation (43, 61%) or perioperative PE prophylaxis (28, 39%) in patients with confirmed iliofemoral DVT. Retrieval procedures were planned for each patient. Patients with nonretrieved filters were followed with plain radiography and duplex sonography. RESULTS: Technical success of filter insertion was 97.3% (73/75). Eighteen (25%) patients died from unrelated causes prior to retrieval attempts, and 6 other patients were too critically ill for a retrieval procedure. Of 49 (67%) planned retrieval attempts, 14 (19%) filters could not be removed owing to large trapped thrombi. The mean implantation period for the 35 (48%) retrieved filters was 8.2 days (range 1-13). Delivery tilt was observed in 12 (16%) filters and during retrieval attempts in 1 more case. For 9 nonretrieved filters, tilt and migration were observed in 22% at a mean follow-up of 30 months, but no venous thrombosis was assessed. CONCLUSIONS: Our data confirm the clinical efficacy of the Gunther Tulip filter during implantation and the feasibility of its retrieval. Further long-term follow-up should be conducted on nonretrieved filters to confirm our results.
Mots-clé
Adult Aged Aged, 80 and over *Device Removal Female Humans Male Middle Aged Prosthesis Design Prosthesis Implantation/*methods *Vena Cava Filters
Pubmed
Web of science
Création de la notice
11/04/2008 11:51
Dernière modification de la notice
20/08/2019 12:25