Retrievable inferior vena cava filter to prevent pulmonary embolism in patients with fractures and deep venous thrombosis of lower extremities: a single-center experience

Autor: Xiaolei Han, Lei Xiao, Junhai Li, Liguo Liu, Junjie Huang, Xiangchen Dai, Ziyuan Zhao, Jingbo Kong, Mei Huang, Nan Li, Xiujun Zhang, Cunfa Liu
Rok vydání: 2021
Předmět:
Medicine (General)
medicine.medical_specialty
Vena Cava Filters
pulmonary embolism
orthopedic surgery
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
vena cava filter
Inferior vena cava filter
030204 cardiovascular system & hematology
Single Center
Biochemistry
Fractures
Bone
03 medical and health sciences
R5-920
0302 clinical medicine
medicine
Humans
In patient
below-knee deep venous thrombosis
cardiovascular diseases
Device Removal
Retrospective Studies
Venous Thrombosis
business.industry
Biochemistry (medical)
030208 emergency & critical care medicine
Cell Biology
General Medicine
Bone fracture
medicine.disease
Surgery
Pulmonary embolism
Venous thrombosis
Treatment Outcome
bone fracture
Lower Extremity
Orthopedic surgery
Deep venous thrombosis
business
Retrospective Clinical Research Report
Zdroj: Journal of International Medical Research, Vol 49 (2021)
The Journal of International Medical Research
ISSN: 1473-2300
0300-0605
DOI: 10.1177/03000605211006591
Popis: Objective To evaluate the effectiveness of inserting a retrievable inferior vena cava filter (IVCF) to prevent pulmonary embolism (PE) in patients with bone fractures and acute deep venous thrombosis (DVT) before major orthopedic surgery. Methods Clinical data of patients with fractures and acute DVT who underwent IVCF insertion were analyzed. The patients were divided into above-knee DVT (AKDVT), popliteal vein thrombosis (PVT), and below-knee DVT (BKDVT) groups. Results An IVCF was successfully implanted in 964 patients, among whom 929 were followed up (335, 470, and 124 in AKDVT, PVT, and BKDVT groups, respectively). There was no significant difference in the incidence of filter thrombosis among the groups (11.04%, 11.70%, and 8.06%, respectively). No symptomatic PE occurred during follow-up. The mean filter indwelling time was 18.4 ± 4.3 days, and the total filter removal rate was 76.87%. There was no significant difference in the rate of filter implantation, retrieval, complications, or mortality among the groups. Conclusions Retrievable filters can effectively prevent PE before orthopedic surgery in patients with fractures and acute DVT of the lower limbs. AKDVT more readily forms a ≥1-cm thrombus in the IVCF than does BKDVT, and PVT more readily forms a
Databáze: OpenAIRE
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