Multiple emboli and filter function: an in vitro comparison of three vena cava filters

Autor: Knut Kvernebo, Junro Hosaka, Sumit Roy, Zheng Yuan Xian, Frode Laerum
Rok vydání: 1995
Předmět:
Zdroj: Journal of vascular and interventional radiology : JVIR. 6(6)
ISSN: 1051-0443
Popis: Purpose To establish the influence of number of emboli on the trapping ability of vena cava filters in vitro. Materials and Methods Three filters, the titanium Greenfield, Vena Tech-LGM, and Gunther Tulip retrievable, were studied with use of 20- or 26-mm-diameter tubes to simulate the inferior vena cava. In the first protocol, five small (4 × 20-mm) or medium (6 × 10-mm) emboli were delivered in sequence, and the fate of each was recorded. In the second protocol, medium or large (6 × 30-mm) clots were sequentially introduced until filter occlusion occurred or 50 clots had been delivered. Results For the first protocol, 82% of first small clots and 60% of second clots were trapped in 20-mm tubes ( P = .001) and 63% and 45%, respectively, were trapped in 26-mm tubes ( P = .02). With medium clots, the proportion trapped also dropped significantly with ascending clot rank. In the second protocol the proportion of clots captured was invariably higher for the first 10 clots ( P Conclusion Filter function deteriorates with number of emboli delivered, irrespective of embolus size and simulated vein caliber.
Databáze: OpenAIRE