Skip Navigation

European Heart Journal 1990 11(4):334-341;
Copyright © 1990 by the European Society of Cardiology.
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by THERY, C.
Right arrow Articles by MARACHE, P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by THERY, C.
Right arrow Articles by MARACHE, P.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1990 The European Society of Cardiology

Use of a new removable vena cava filter in order to prevent pulmonary emblism in patients submitted to thrombolysis

C. THERY*,, P. ASSEMAN*, N. AMROUNI*, J. BECQUART*, P. PRUVOST*, M. LESENNE*, R. LEGGHE{dagger} and P. MARACHE{dagger}

*service de Soins Intensifs Lille, France
{dagger}Service de Radiologie vasculaire, Höpital Cardiologique Lille, France

Received 17 February 1989; revised 1 June 1989; .

Address for correspondence: CL Thery Service de Soin Inensifs. HöPital Cardiologique, Boulevard du Pr Leclercq, 59037 Lille Cedex, France

Abstract

The authors present a removable vena cava filter that may be introduced percutaneously, is atraumatic to the venous wall, and permits the simultaneous use of thrombolytk therapy. Sixty-five patients were studied: 42 cases of pulmonary embolism with threatening venous thrombosis; 23 cases of phlebitis associated with an ilio-caval thrombus without pulmonary embolism. The filter was introduced 38 timesfemor ally and 27 times by a jugular approach. In 16 cases (24-6%) clots broke loose, were effectively caught by the filter, and were progressively dissolved during thrombolytic therapy. The filter remained in place on average 4-5 ± 1-2 days. The filter was removed in all cases without provoking the recurrence of pulmonary embolism. Two deaths, not related to pulmonary embolism, occurred during hospitalization. Phlebography, performed in all cases before and after treatment, showed a significant decrease of the phlebographic score (10.88±0.82 vs 6.77±0.86, P<0001). The same was observed in 40 patients who underwent a pulmonary angiography before and after treatment (Miller index = 1704 ±0.73 vs 5.49 ±0.87, P<00001). After removal of the filter, no sign of pulmonary embolism was detected on lung scan in the 23 patients with ilio-caval thrombus alone. More than 5 g (100ml)–1l of haemoglobin was lost by 15.38% of patients. All patients were follow ed-up for a mean of 712± 1.3 months; in no case was there any clinical recurrence of pulmonary embolism. Thus this device allows an effective temporary filtering of the vena cava. Thrombolytic therapy, in association with the retrievable filter is possible with favourable results at the cost of an increased risk of haemorrhage.

Key Words: Vena cava filter • pulmonary embolism • venous thrombosis


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 VASC ENDOVASCULAR SURGHome page
S.-i. Watanabe, S. Shimokawa, Y. Moriyama, M. Koga, Y. Iguro, H. Masuda, A. Yamaoka, Y. Fukumoto, K.-i. Sakasegawa, H. Saigenji, et al.
Clinical Experience with Temporary Vena Cava Filters
Vascular and Endovascular Surgery, July 1, 2001; 35(4): 285 - 290.
[Abstract] [PDF]

Home page
 Eur Heart JHome page
Guidelines on diagnosis and management of acute pulmonary embolism
Eur. Heart J., August 2, 2000; 21(16): 1301 - 1336.
[PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.