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1.
J Vasc Surg Venous Lymphat Disord ; 11(2): 310-317, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36179788

RESUMO

OBJECTIVE: We sought to determine the clinical and imaging outcomes after placement of the OptionELITE inferior vena cava (IVC) filter (Argon Medical Devices, Plano, TX). METHODS: The clinical characteristics and imaging findings of patients who had undergone OptionELITE filter placement at six affiliated hospitals between January 1, 2013 and April 19, 2019, were analyzed. Data were obtained from the Radiology Information System, imaging database, and electronic medical records. The patients were followed up until 1 month after filter removal, death, or the first clinic visit and imaging study after June 1, 2019. RESULTS: A total of 603 filter placement procedures in 594 patients were evaluated. Of the 603 procedures, 602 were technically successful (99.8%). Of the 594 patients, 356 had presented with acute pulmonary embolism and/or deep vein thrombosis. A total of 189 filters were retrieved from the 191 patients for whom retrieval had been attempted at 4.3 ± 6.3 months (median, 2.5 months) after placement. The 414 filters without removal procedures had been followed up for 14.8 ± 17.7 months (median, 6.9 months). During the follow-up period, 57 patients (9.5%) had developed new or worsening deep vein thrombosis caudal to the filter and 19 (3.2%) had experienced new symptomatic nonfatal pulmonary embolism after filter placement. One filter had migrated and fractured, and another filter had fractured and a strut was lost. Perforation was demonstrated equivocally in 12 (3%) and definitely in 17 (4.3%) of 399 patients with adequate imaging studies available, with penetration into surrounding structures in 13 patients (3.3%). Of 332 patients with adequate imaging studies, 12 (3.6%) had developed substantial IVC thrombosis and 4 (1.2%) had developed IVC occlusion. CONCLUSIONS: The rates of symptomatic pulmonary embolism and filter-related complications were low after OptionELITE IVC filter placement, and filter retrieval, when attempted, was 99% successful.


Assuntos
Embolia Pulmonar , Filtros de Veia Cava , Trombose Venosa , Humanos , Filtros de Veia Cava/efeitos adversos , Trombose Venosa/complicações , Embolia Pulmonar/etiologia , Remoção de Dispositivo/efeitos adversos , Estudos Retrospectivos , Veia Cava Inferior/cirurgia , Resultado do Tratamento
2.
Tech Vasc Interv Radiol ; 22(3): 125-126, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31623751

RESUMO

While the tools and techniques employed by interventional radiologists on a day-to-day basis translate well to learning the skills required to perform basic endoscopic interventions, collaboration with other specialties is crucial to the success of an interventional radiology endoscopy program. As in any field in medicine, the paramount goal is to improve patient care. Adding the ability to directly visualize structures through an endoscope to certain interventional radiologic procedures may greatly augment the efficacy, safety, and success of interventional radiology procedures. Colleagues in urology, gastroenterology, and surgery should be involved in decision-making and treatment planning to ensure that a shared vision for optimal patient care is achieved.


Assuntos
Endoscopia , Comunicação Interdisciplinar , Equipe de Assistência ao Paciente/organização & administração , Administração da Prática Médica/organização & administração , Radiografia Intervencionista , Comportamento Cooperativo , Redução de Custos , Endoscopia/economia , Gastroenterologistas/organização & administração , Custos de Cuidados de Saúde , Humanos , Equipe de Assistência ao Paciente/economia , Administração da Prática Médica/economia , Radiografia Intervencionista/economia , Radiologistas/organização & administração , Urologistas/organização & administração
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