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
Titre
Clinical experience with retrievable Gunther Tulip vena cava filters
Périodique
Journal of Endovascular Therapy
Auteur(s)
Wicky S., Doenz F., Meuwly J. Y., Portier F., Schnyder P., Denys A.
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 12:51
Dernière modification de la notice
03/03/2018 13:20
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