Temporary Vena Cava Filters and Ultrahigh Streptokinase Thrombolysis Therapy: A Clinical Study
| Autor: | C. Kagel, Hans-Dieter Weiss, Hans-Joachim Siemens, T. Wagner, Heike Lorch, M. Zwaan |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Vena Cava Filters Adolescent medicine.medical_treatment Streptokinase Deep vein Vena Cava Inferior Iliac Vein Fibrinolytic Agents Fibrinolysis medicine Humans Thrombolytic Therapy Radiology Nuclear Medicine and imaging cardiovascular diseases Venous Thrombosis Vena cava filters Chemotherapy Vascular disease business.industry Ultrasonography Doppler Equipment Design Phlebography Thrombolysis Middle Aged medicine.disease Thrombosis Surgery medicine.anatomical_structure Injections Intravenous cardiovascular system Female Radiology Pulmonary Embolism Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | CardioVascular and Interventional Radiology. 23:273-278 |
| ISSN: | 1432-086X 0174-1551 |
| DOI: | 10.1007/s002700010068 |
| Popis: | To assess the efficacy of temporary vena cava filters in patients undergoing ultrahigh-dose streptokinase thrombolysis for iliocaval thrombosis and to determine therapy success and filter and therapy complications.Forty-five patients were studied regarding extension and characteristics of thrombosis, duration, success, and complications of thrombolysis therapy, filter type, access route, pulmonary embolisms, and filter complications.Complete recanalization was achieved in 57% of cases. Filters were inserted predominantly via a transbrachial route. One fatal pulmonary embolism (2%) occurred 1 day after starting thrombolysis. No other pulmonary embolism was noted. Other complications were induced by thrombolysis alone (n = 12), thrombolysis and filter (n = 9), and filter alone (n = 11).Fatal pulmonary embolisms as a complication of ultrahigh-dose treatment of pelvic or caval thrombosis can not safely be prevented by the temporary vena cava filters currently available. Filter design needs to be improved. |
| Databáze: | OpenAIRE |
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