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Should We Remove the Retrievable Cook Celect Inferior Vena Cava Filter? Eight Years of Experience at a Single Center
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 443-447, 2017.
Artículo en Inglés | WPRIM | ID: wpr-175187
ABSTRACT

BACKGROUND:

The inferior vena cava filter (IVCF) is very effective for preventing pulmonary embolism in patients who cannot undergo anticoagulation therapy. However, if a filter is placed in the body permanently, it may lead to other complications.

METHODS:

A retrospective study was performed of 159 patients who underwent retrievable Cook Celect IVCF implantation between January 2007 and April 2015 at a single center. Baseline characteristics, indications, and complications caused by the filter were investigated.

RESULTS:

The most common underlying disease of patients receiving the filter was cancer (24.3%). Venous thrombolysis or thrombectomy was the most common indication for IVCF insertion in this study (47.2%). The most common complication was inferior vena cava penetration, the risk of which increased the longer the filter remained in the body (p=0.032, Exp(B)=1.004).

CONCLUSION:

If the patient is able to retry anticoagulation therapy and the filter is no longer needed, the filter should be removed, even if a long time has elapsed since implantation. If the filter cannot be removed, it is recommended that follow-up computed tomography be performed regularly to monitor the progress of venous thromboembolisms as well as any filter-related complications.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Embolia Pulmonar / Tromboembolia / Vena Cava Inferior / Estudios Retrospectivos / Estudios de Seguimiento / Filtros de Vena Cava / Trombectomía / Trombosis de la Vena Tipo de estudio: Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Humanos Idioma: Inglés Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 2017 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Embolia Pulmonar / Tromboembolia / Vena Cava Inferior / Estudios Retrospectivos / Estudios de Seguimiento / Filtros de Vena Cava / Trombectomía / Trombosis de la Vena Tipo de estudio: Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Humanos Idioma: Inglés Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 2017 Tipo del documento: Artículo