A Retrievable Nitinol Vena Cava Filter: Experimental and Initial Clinical Results
| Autor: | Tony P. Smith, Nobuo Nakagawa, Steve C. DeJong, Flavio Castañeda, Andrew H. Cragg, William H. Barnhart |
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| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
Time Factors Vena Cava Filters Vena cava Venography Aspiration Thrombectomy Inferior vena cava Alloys medicine Animals Humans Radiology Nuclear Medicine and imaging Thrombus Sheep medicine.diagnostic_test business.industry Equipment Design Middle Aged medicine.disease Thrombosis Surgery Radiography medicine.vein Iliac veins Filter (video) cardiovascular system Female Radiology Pulmonary Embolism Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Vascular and Interventional Radiology. 5:507-512 |
| ISSN: | 1051-0443 |
| DOI: | 10.1016/s1051-0443(94)71539-6 |
| Popis: | Purpose The authors describe the properties of a new retrievable nitinol vena cava filter and report experimental and initial clinical results. Materials and Methods The filters, made of nitinol monofilament wire that forms a spiral cone and retrieval wire, were introduced through an indwelling 5.5-F transfemoral sheath into the infrarenal portion of the inferior vena cava in 10 sheep. In seven animals, four 4 × 30-mm radiopaque clots were injected below the filter to test its thrombus-trapping efficacy. Aspiration thrombectomy was then attempted, and the filter was removed. Follow-up venog-raphy was performed 1 week after placement in three other animals. After successful preclinical testing, the filter was implanted and retrieved in two patients. Results All 10 filters were successfully and easily placed in sheep. All filters were thrombus-free at follow-up venography. All clots injected in the iliac veins were trapped by the filter and successfully removed by means of aspiration thrombectomy. All 10 filters were retrieved without difficulty. Temporary filter implantation and retrieval were accomplished in two patients for 5 and 7 days. In one patient, infrafilter thrombus was aspirated. Perisheath thrombosis occurred in both patients. One patient subsequently underwent permanent filter placement. Conclusion Temporary vena cava filtration is feasible. Potential advantages include easy placement, surveillance, and retrieval. One current limitation is pericatheter thrombosis, which may be eliminated by a less thrombogenic sheath. |
| Databáze: | OpenAIRE |
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